RASopathic Skin Eruptions During Vemurafenib Therapy

    March 2013 in “ PLoS ONE
    Jeannine D. Rinderknecht, Simone M. Goldinger, Sima Rozati, Jivko Kamarashev, Katrin Kerl, Lars E. French, Reinhard Dummer, Benedetta Belloni
    TLDR Vemurafenib causes skin side effects similar to RASopathies, requiring regular skin checks and UVA protection.
    Vemurafenib, a V600 mutant BRAF inhibitor, was studied for its cutaneous side effects in 28 patients with advanced melanoma. The study found that 93% of patients experienced skin reactions, including photosensitivity, maculopapular exanthema, pruritus, folliculitis, mild alopecia, and nail changes. Common skin reactions included keratosis pilaris, acanthopapilloma, plantar hyperkeratosis, keratoacanthoma, and invasive squamous cell carcinoma. One patient developed a second primary melanoma. The study concluded that Vemurafenib's skin side effects resemble those of RASopathies and emphasized the need for regular dermatological assessments and UVA protection.
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