2007
DOI: 10.1111/j.1365-2133.2006.07597.x
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Taxane-induced scleroderma

Abstract: We report five women who presented with scleroderma due to taxanes, mimicking systemic sclerosis. All five patients had received taxane chemotherapy for the treatment of metastatic breast cancer. Marked oedema began first, followed by skin sclerosis occurring mainly at the distal ends of the extremities 6-12 months after the administration of taxane in all patients. Skin biopsies showed full-layer dermal fibrosis with thickened collagen bundles, and perivascular monocytic cell infiltration. These cases resembl… Show more

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Cited by 55 publications
(60 citation statements)
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“…However, clinical course of our case suggests that DOC may play more important role in activity of dermatomyositis than ovarian cancer. It is speculated that cytokines like tumor necrosis factor (TNF)-α may play an important role in taxane-induced scleroderma [1]. We speculated similar mechanism: other cytokines by taxane may lead to the onset of dermatomyositis.…”
Section: Discussionmentioning
confidence: 92%
See 1 more Smart Citation
“…However, clinical course of our case suggests that DOC may play more important role in activity of dermatomyositis than ovarian cancer. It is speculated that cytokines like tumor necrosis factor (TNF)-α may play an important role in taxane-induced scleroderma [1]. We speculated similar mechanism: other cytokines by taxane may lead to the onset of dermatomyositis.…”
Section: Discussionmentioning
confidence: 92%
“…gastrointestinal symptoms, myelosuppression, and general fatigue, etc. In addition, scleroderma-like lesions can be occurred in patients with taxane treatment: 13 cases were collected in Japan [1] [2].…”
Section: Introductionmentioning
confidence: 99%
“…37 Several studies however indicate the severity of scleroderma is an important predictive factor 40 . Finally apart from radiotherapy, chemotherapy especially with docetaxel and paclitaxel has been reported to occasionally induce scleroderma 41,42,43,44 .…”
Section: Pathophysiologymentioning
confidence: 99%
“…Candidate initiating agents include vinyl chloride, epoxy resins, pesticides, and a number o f o rg a n i c s o l v e n t s u s e d i n p a i n t s . Chemotherapeutic agents including taxanes have also been linked to development of scleroderma that may resemble that triggered by these other agents (16).…”
mentioning
confidence: 99%