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VIGNETTES
Imatinib-Induced Hand-Foot Syndrome in a Patient With Metastatic Gastrointestinal Stromal Tumor
Maxime Battistella, MD;
Guillemette Frémont, MD;
Marie-Dominique Vignon-Pennamen, MD;
Jean-Marc Gornet, MD;
Louis Dubertret, MD, PhD;
Manuelle Viguier, MD
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Imatinib has become a main chemotherapeutic agent, especially for metastatic gastrointestinal stromal tumors (GISTs) and chronic myeloid leukemia. To our knowledge, we report herein the first case of hand-foot syndrome induced by this drug.
Report of a Case
A 49-year-old man with no known medical history was diagnosed as having metastatic GIST in July 2006. A computed tomographic scan revealed large bilobar hepatic nodules, and upper digestive endoscopy revealed a 3-cm ulcerated submucosal lesion of the antrum having a gross aspect consistent with GIST. Biopsy confirmed the diagnosis of malignant GIST with a high expression of CD117.
Treatment with imatinib was begun at 400 mg/d. No other medication was prescribed. Three weeks after treatment initiation, the patient developed moderate cheilitis, tongue pain, and acral eruption. He experienced painful, edematous palmoplantar erythema, which spread over the . . . [Full Text of this Article] Comment
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