BRAF inhibition and the spectrum of granulomatous reactions

Autor: Kevin Phan, Anthony M. Joshua, Annika Smith, James P. Pham, Phoebe Star, Yanni Loh
Rok vydání: 2022
Předmět:
Zdroj: Journal of the American Academy of Dermatology. 87:605-613
ISSN: 0190-9622
Popis: BRAF-inhibitors have emerged as a promising targeted therapy for malignancies with BRAF mutations, particularly metastatic melanoma. However, granulomatous reactions including sarcoidosis and sarcoid-like-reactions have been reported as a consequence of BRAF-inhibition. It is important to adequately characterise these granulomatous reactions including cutaneous manifestations and systemic involvement, in order to guide investigations and management. A literature review was conducted to characterise the spectrum of granulomatous reactions associated with BRAF-inhibitors - identifying 55 reactions affecting 51 patients, with 37 reactions limited to cutaneous involvement. Further, possible correlation with cancer response, mechanisms of granuloma formation, as well as a proposed workup and management approach for these granulomatous reactions are presented.
Databáze: OpenAIRE