PMID- 25288062 OWN - NLM STAT- MEDLINE DCOM- 20150622 LR - 20151119 IS - 0151-9638 (Print) IS - 0151-9638 (Linking) VI - 141 IP - 10 DP - 2014 Oct TI - [Capecitabine-induced subacute cutaneous lupus: a case report]. PG - 593-7 LID - S0151-9638(14)00482-7 [pii] LID - 10.1016/j.annder.2014.06.011 [doi] AB - BACKGROUND: More than 100 drugs have been registered as inducing subacute cutaneous lupus erythematosus (SCLE). Recently, some types of chemotherapy have also been incriminated. If SCLE develops in a setting of neoplasia, two possibilities should be considered: it is either a paraneoplastic syndrome or it is caused by the chemotherapy, thus calling for important decisions on the benefit/risk of stopping potentially effective medication. We report a case of SCLE induced by Xeloda (capecitabine). PATIENTS AND METHODS: A 50-year-old female patient consulted with an annular erythematosquamous and pruriginous eruption, predominantly on areas of the body exposed to sunlight, occurring 4 months after the initiation of capecitabine for advanced colon cancer. She had presented systemic lupus erythematosus (SLE) for many years, which was not treated, was not progressive and had no cutaneous manifestations. The appearance of the cutaneous lesions, positivity for anti-SSA antibodies and the histological aspect led to diagnosis of SCLE. The lesions were resistant to treatment with hydroxychloroquine and systemic corticosteroids, but disappeared after discontinuation of capecitabine, suggesting chemotherapy-induced SCLE. DISCUSSION: Some types of chemotherapy such as capecitabine may reveal or induce SCLE lesions, whether or not there is a previous history of SLE. Cases of chemotherapy-induced cutaneous lupus reported to the French pharmacovigilance agency are rare, but this side effect must be recognised due to the constantly rising use of this type of anticancer agent. CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved. FAU - Fongue, J AU - Fongue J AD - Service de dermatologie, CHU La Timone, 13005 Marseille, France; Service de medecine interne, centre de competence PACA Ouest pour la prise en charge des pathologies auto-immunes systemiques, CHU de la Conception, 147, boulevard Baille, 13005 Marseille, France. FAU - Meunier, B AU - Meunier B AD - Service de medecine interne, centre de competence PACA Ouest pour la prise en charge des pathologies auto-immunes systemiques, CHU de la Conception, 147, boulevard Baille, 13005 Marseille, France. FAU - Lardet, D AU - Lardet D AD - Cabinet de dermatologie, 47B, avenue Marechal-Foch, 83390 Cuers, France. FAU - Dicostanzo, M-P AU - Dicostanzo MP AD - Service de medecine interne, centre de competence PACA Ouest pour la prise en charge des pathologies auto-immunes systemiques, CHU de la Conception, 147, boulevard Baille, 13005 Marseille, France. FAU - Rouby, F AU - Rouby F AD - Pharmacovigilance, hopital Salvator, 13009 Marseille, France. FAU - Terrier, J-P AU - Terrier JP AD - Laboratoire d'anatomopathologie, 219, rue Revel, 83000 Toulon, France. FAU - Harle, J-R AU - Harle JR AD - Service de medecine interne, centre de competence PACA Ouest pour la prise en charge des pathologies auto-immunes systemiques, CHU de la Conception, 147, boulevard Baille, 13005 Marseille, France. FAU - Richard, M-A AU - Richard MA AD - Service de dermatologie, CHU La Timone, 13005 Marseille, France. FAU - Chiche, L AU - Chiche L AD - Service de medecine interne, centre de competence PACA Ouest pour la prise en charge des pathologies auto-immunes systemiques, CHU de la Conception, 147, boulevard Baille, 13005 Marseille, France. Electronic address: laurent.chiche@ap-hm.fr. LA - fre PT - Case Reports PT - English Abstract PT - Journal Article TT - Lupus cutane subaigu induit par la capecitabine : un cas. DEP - 20140806 PL - France TA - Ann Dermatol Venereol JT - Annales de dermatologie et de venereologie JID - 7702013 RN - 0 (Antimetabolites, Antineoplastic) RN - 0W860991D6 (Deoxycytidine) RN - 6804DJ8Z9U (Capecitabine) RN - U3P01618RT (Fluorouracil) SB - IM MH - Adverse Drug Reaction Reporting Systems MH - Antimetabolites, Antineoplastic/*adverse effects/therapeutic use MH - Capecitabine MH - Colonic Neoplasms/*drug therapy MH - Deoxycytidine/adverse effects/*analogs & derivatives/therapeutic use MH - Diagnosis, Differential MH - Female MH - Fluorouracil/adverse effects/*analogs & derivatives/therapeutic use MH - France MH - Humans MH - Lupus Erythematosus, Cutaneous/*chemically induced/diagnosis MH - Middle Aged OTO - NOTNLM OT - Capecitabine OT - Capecitabine OT - Chemotherapy OT - Chimiotherapie OT - Induced cutaneous lupus erythematosus OT - Lupus cutane induit OT - Lupus erythemateux subaigu OT - Subacute cutaneous lupus erythematosus EDAT- 2014/10/08 06:00 MHDA- 2015/06/24 06:00 CRDT- 2014/10/08 06:00 PHST- 2014/02/11 00:00 [received] PHST- 2014/04/08 00:00 [revised] PHST- 2014/06/19 00:00 [accepted] PHST- 2014/10/08 06:00 [entrez] PHST- 2014/10/08 06:00 [pubmed] PHST- 2015/06/24 06:00 [medline] AID - S0151-9638(14)00482-7 [pii] AID - 10.1016/j.annder.2014.06.011 [doi] PST - ppublish SO - Ann Dermatol Venereol. 2014 Oct;141(10):593-7. doi: 10.1016/j.annder.2014.06.011. Epub 2014 Aug 6.