A case report of rare palmoplantar keratosis and nail dystrophy with imatinib

Ann Pharm Fr. 2017 May;75(3):172-175. doi: 10.1016/j.pharma.2016.12.006. Epub 2017 Feb 9.

Abstract

A 48-year-old woman developed palmoplantar hyperkeratosis during treatment with imatinib (400mg/day) for treatment of chronic myeloid leukemia. After 5months of treatment, she developed plantar lesions with yellow-brownish plaques and palmar desquamations. The skin biopsy has eliminated psoriasis. Imatinib was discontinued, and treatment with an emollient balm and a soothing repair cream with an improvement of symptoms. A French imputability assessment score of I3 was obtained, indicating a probable relationship between the side effect and imatinib. In our case, the skin adverse events require definitive drug discontinuation and change of treatment.

Keywords: Dystrophie des ongles; Hyperkératose palmoplantaire; Imatinib; Nail dystrophy; Palmoplantar hyperkeratosis.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Female
  • Foot / pathology
  • Hand / pathology
  • Humans
  • Imatinib Mesylate / adverse effects*
  • Keratoderma, Palmoplantar / chemically induced*
  • Keratoderma, Palmoplantar / pathology
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / complications
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / drug therapy
  • Middle Aged
  • Nail Diseases / chemically induced*
  • Nail Diseases / pathology
  • Skin / pathology

Substances

  • Antineoplastic Agents
  • Imatinib Mesylate