Reactions 1680, p255 - 2 Dec 2017 Intracorneal pustular drug eruption, actinic keratosis and porokeratosis: case report An elderly man [age at the time of reaction onset not clearly stated] developed intracorneal pustular drug eruption, actinic keratosis and porokeratosis during treatment with nivolumab [dosage not stated]. The man was diagnosed melanoma of the right calf in September 2014 at the age of 79 years. In May 2016, his melanoma progressed and metastasised to his brain. As a result, in May 2016, he started receiving treatment with nivolumab infusions every two weeks. Eight weeks later, after four nivolumab cycles, he developed non-tender, erythematous scaly plaques and pustules on the legs, forehead and arms. The histology showed intracorneal pustules with dermal neutrophils and eosinophils. Consequently, a diagnosis of intracorneal pustular drug eruption, with an incidental diagnosis of actinic keratosis and porokeratosis was made. The man was treated with betamethasone-valerate and urea cream. Following the treatment, his intracorneal pustular drug eruption resolved. His nivolumab therapy was continued and metastatic melanoma remained stable. Author comment: "We present the first case of intracorneal pustular drug eruption in association with nivolumab, a new cutaneous adverse event associated with anti-[programmed cell death-1]." Zhao CY, et al. Intracorneal pustular drug eruption, a novel cutaneous adverse event in anti-programmed cell death-1 patients that highlights the effect of anti- programmed cell death-1 in neutrophils. Melanoma Research 27: 641-644, No. 6, Dec 2017. Available from: URL: http://doi.org/10.1097/CMR.0000000000000397 - Australia 803284591 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680
Reactions Weekly – Springer Journals
Published: Dec 2, 2017
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