Preview

Pediatric pharmacology

Advanced search

Dermatologic toxicity of high doses of tiothepa in children. Case report

https://doi.org/10.15690/pf.v20i2.2543

Abstract

Hematopoietic stem cell transplantation (HSCT) is a treatment modality for a number of severe malignant and non-neoplastic diseases. Autologous hematopoietic stem cell transplantation (auto-HSCT) improves outcomes in patients with solid and hematological malignancies. Skin lesions at the auto-HSCT stage are quite common and represent an important diagnostic and therapeutic problem. The most significant causes of skin lesions in auto-HSCT are drug toxicity, infectious and viral lesions. Each of the complications can manifest itself to varying degrees as well as combine with others, having a significant negative on the patient’s condition, posing a threat to the patient’s life in severe cases.

About the Authors

Teimur Z. Aliev
N.N. Blokhin National Medical Research Center of Oncology, L.A. Durnov Research Institute of Pediatric Oncology and Hematology
Russian Federation

Aliev Teimur Zeinal ogly, MD

23, Kashirskoe shosse, Moscow, 115478


Disclosure of interest:

Not declared.



Tatiana I. Potemkina
N.N. Blokhin National Medical Research Center of Oncology, L.A. Durnov Research Institute of Pediatric Oncology and Hematology
Russian Federation

Tatiana I. Potemkina, MD

Moscow


Disclosure of interest:

Not declared.



Tatiana S. Belysheva
N.N. Blokhin National Medical Research Center of Oncology, L.A. Durnov Research Institute of Pediatric Oncology and Hematology
Russian Federation

Tatiana S. Belysheva, MD, PhD

Moscow


Disclosure of interest:

Not declared.



Timur T. Valiev
N.N. Blokhin National Medical Research Center of Oncology, L.A. Durnov Research Institute of Pediatric Oncology and Hematology
Russian Federation

Timur T. Valiev, MD, PhD

Moscow


Disclosure of interest:

Not declared.



Karina A. Sergeenko
N.N. Blokhin National Medical Research Center of Oncology, L.A. Durnov Research Institute of Pediatric Oncology and Hematology
Russian Federation

Karina A. Sergeenko, MD

Moscow


Disclosure of interest:

Not declared.



Irina A. Kostareva
N.N. Blokhin National Medical Research Center of Oncology, L.A. Durnov Research Institute of Pediatric Oncology and Hematology
Russian Federation

Irina O. Kostareva, MD

Moscow


Disclosure of interest:

Not declared.



Lana M. Kudaeva
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation

Lana M. Kudaeva

Moscow


Disclosure of interest:

Not declared.



Elena B. Machneva
N.N. Blokhin National Medical Research Center of Oncology, L.A. Durnov Research Institute of Pediatric Oncology and Hematology; Russian Children’s Clinical Hospital of Pirogov Russian National Research Medical University
Russian Federation

Elena B. Machneva, MD, PhD

Moscow


Disclosure of interest:

Not declared.



Tatiana L. Ushakova
N.N. Blokhin National Medical Research Center of Oncology, L.A. Durnov Research Institute of Pediatric Oncology and Hematology; Federal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Public Health of the Russian Federation
Russian Federation

Tatiana L. Ushakova, MD, PhD

Moscow


Disclosure of interest:

Not declared.



Vladimir G. Polyakov
N.N. Blokhin National Medical Research Center of Oncology, L.A. Durnov Research Institute of Pediatric Oncology and Hematology; Federal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Public Health of the Russian Federation; Pirogov Russian National Research Medical University
Russian Federation

Vladimir G. Polyakov, MD, PhD, Professor, Academician of the RAS

Moscow


Disclosure of interest:

Not declared.



Kirill I. Kirgizov
N.N. Blokhin National Medical Research Center of Oncology, L.A. Durnov Research Institute of Pediatric Oncology and Hematology
Russian Federation

Kirill I. Kirgizov, MD, PhD

Moscow


Disclosure of interest:

Not declared.



Svetlana R. Varfolomeeva
N.N. Blokhin National Medical Research Center of Oncology, L.A. Durnov Research Institute of Pediatric Oncology and Hematology
Russian Federation

Svetlana R. Varfolomeeva, MD, PhD, Professor

Moscow


Disclosure of interest:

Not declared.



References

1. Aliev TZ, Machneva EB, Sidorova NV, et al. Skin damage after the hematopoietic stem cell transplantation. Literature review. Pediatric Hematology/Oncology and Immunopathology. 2020;19(2):184–192. (In Russ). doi: https://doi.org/10.24287/1726-1708-2020-19-2-184-192]

2. Belysheva TS, Aliev TZ, Valiev TT, et al. Clinical Features of Cutaneous Acute Graft-versus-Host Disease after Allogeneic Hematopoietic Stem Cells Transplantation in Children with Hemato-Oncological Diseases. Voprosy sovremennoi pediatrii — Current Pediatrics. 2020;19(6):500–508. (In Russ). doi: https://doi.org/10.15690/vsp.v19i6.2148]

3. Bolognia JL, Cooper DL, Glusac EJ. Toxic erythema of chemotherapy: a useful clinical term. J Am Acad Dermatol. 2008;59(3):524–529. doi: https://doi.org/10.1016/j.jaad.2008.05.018

4. Horn TD, Beveridge RA, Egorin MJ, et al. Observations and proposed mechanism of N,N′,N′′-triethyl-enethiophosphoramide (thiotepa)-induced hyperpigmenta-tion. Arch Dermatol. 1989;125(4):524–527.

5. Summary of Product Characteristics. Thiotepa. In: Electronic medicines compendium. Available online: https://www.medicines.org.uk/emc/product/12717/smpc#gref. Accessed on Marth 29, 2023.

6. Tepadina®, Thiotepa for injection, product monograph including patient medication information. Available online: https://methapharm.com/wp-content/uploads/2021/05/00056680-TepadinaPM-EN_June15-2020.pdf. Accessed on Marth 29, 2023.

7. Rosman IS, Lloyd BM, Hayashi RJ, et al. Cutaneous effects of thiotepa in pediatric patients receiving high-dose chemotherapy with autologous stem cell transplantation. J Am Acad Dermatol. 2008;58(4):575–578. doi: https://doi.org/10.1016/j.jaad.2007.12.037

8. Koppel RA, Boh EE. Cutaneous reactions to chemotherapeutic agents. Am J Med Sci. 2001;321(5):327–335. doi: https://doi.org/10.1097/00000441-200105000-00005

9. Beyer J, Grabbe J, Lenz K, et al. Cutaneous toxicity of high-dose carboplatin, etoposide and ifosfamide followed by autologous stem cell reinfusion. Bone Marrow Transplant. 1992;10(6):491–494.

10. Lucidarme N, Valteau-Couanet D, Oberlin O, et al. Phase II study of high-dose thiotepa and hematopoietic stem cell transplantation in children with solid tumors. Bone Marrow Transplant. 1998;22(6):535–540. doi: https://doi.org/10.1038/sj.bmt.1701395

11. Wise M, Maroon M, Fussell N. Cutaneous toxicity associated with tiotepa before autologous stem cell transplant. JAAD. 2010;62(3 Suppl 1):AB48. doi: https://doi.org/10.1016/j.jaad.2009.11.239

12. Van Schandevyl G, Bauters T. Thiotepa-induced cutaneous toxicity in pediatric patients: Case report and implementation of preventive care guidelines. J Oncol Pharm Pract. 2019;25(3):689–693. doi: https://doi.org/10.1177/1078155218796905

13. US Food and Drug Administration. Full prescribing information Tepadina. Reference ID: 4046754. Available online: www.accessdata.fda.gov/drugsatfda_docs/label/2017/208264s000lbl.pdf. Accessed on May 24, 2018.

14. Belysheva TS, Valiev TT, Aliev TZ. Dermatologicheskaya toksichnost’ i mukozity pri lechenii zlokachestvennykh opukholei u detei. In: Protivoopukholevaya lekarstvennaya terapiya: National guidelines. Gorbunova VA, Stenina MB, eds. Moscow.: GEOTAR-Media; 2022. pp. 686–692. (In Russ). doi: https://doi.org/10.33029/9704-6897-5-ATDT-2022-1-708

15. Balsat M, Pillet S, Tavernier E, et al. Human Herpesvirus 6 Infection after Autologous Stem Cell Transplantation: A Multicenter Prospective Study in Adult Patients. J Infect. 2019;79(1):36–42. doi: https://doi.org/10.1016/j.jinf.2019.05.001

16. Miura T, Kikuchi N, Ohtsuka M, Yamamoto T. Varicella in a patient with drug-induced hypersensitivity syndrome developed after autologous peripheral stem cell transplantation. Int J Dermatol. 2018;57(9):e71–e73. doi: https://doi.org/10.1111/ijd.14091


Review

For citations:


Aliev T.Z., Potemkina T.I., Belysheva T.S., Valiev T.T., Sergeenko K.A., Kostareva I.A., Kudaeva L.M., Machneva E.B., Ushakova T.L., Polyakov V.G., Kirgizov K.I., Varfolomeeva S.R. Dermatologic toxicity of high doses of tiothepa in children. Case report. Pediatric pharmacology. 2023;20(2):134–140. (In Russ.) https://doi.org/10.15690/pf.v20i2.2543

Views: 516


ISSN 1727-5776 (Print)
ISSN 2500-3089 (Online)