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Infectious Disorders - Drug Targets

Editor-in-Chief

ISSN (Print): 1871-5265
ISSN (Online): 2212-3989

Case Report

Capecitabine and Hand-foot Syndrome: A Case Report

Author(s): Praveen Kumar Uppala, Anjaly Mary Varghese, Sree Sudha Tanguturi Yella*, Hemasri Velmurugan, Pugazhenthan Thangaraju and Kota Shesha Brahma Shree Krishna Sasanka

Volume 23, Issue 1, 2023

Published on: 17 August, 2022

Article ID: e140622205973 Pages: 4

DOI: 10.2174/1871526522666220614162117

Price: $65

Abstract

Capecitabine, a prodrug of 5-fluorouracil, is an FDA-approved drug for adjuvant treatment of colon, metastatic colorectal, and breast cancer. A variety of mucocutaneous adverse effects has been recognized with capecitabine. The pathogenesis of such manifestations still remains an enigma though various theories have been proposed. Here, we report two such cases. A 59-year-old female with carcinoma of the sigmoid colon on palliative therapy developed localized cutaneous hyperpigmentation of the palms and soles secondary to capecitabine in her 2nd cycle. Another case was of a 42-year-old female with stomach adenocarcinoma, who developed similar adverse effects after administration of capecitabine in her 4th cycle. Since these drugs have been widely used in recent years due to their relative ease in administration, the relative unawareness of Hand-foot syndrome (HFS) caused due to this drug makes it a prudent topic to be reported.

Keywords: Capecitabine (Xeloda), hand-foot syndrome (HFS), erythema, palmoplantar erythrodysesthesia, mucinous adenocarcinoma of sigmoid colon, adenocarcinoma of the stomach, WHO causality assessment, naranjo causality assessment.

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