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VIGNETTES
Leukonychia Related to Vorinostat
Kyle A. Anderson, MD;
Holly L. Bartell, MD;
Elise A. Olsen, MD
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We herein describe a new clinical finding of leukonychia occurring in 3 patients with mycosis fungoides (MF) being treated with vorinostat (Zolinza; Merck & Co Inc, Whitehouse Station, New Jersey), a zinc-dependent histone deacetylase (HDAC) inhibitor approved for the treatment of cutaneous T-cell lymphoma.1
Report of Cases
Case 1
Patient 1 was a 70-year-old white woman with stage IVA MF treated previously with methotrexate, interferon alfa, bexarotene, topical nitrogen mustard, and psoralen–UV-A therapy (PUVA). She had been taking vorinostat, 300 to 400 mg/d, for 6 months when diffuse leukonychia of the fingernails was noted (Figure 1). Vorinostat treatment was discontinued after 10 months owing to persistent disease, and by 10 months later, her nails had returned to normal.
Figure appears in full text version.
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Figure 1. Clinical comparison of the fingernails of patient 1 after 6 months of vorinostat treatment (top, 2 hands) with normal fingernails (bottom, . . . [Full Text of this Article]
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Case 2Case 3 Comment
AUTHOR INFORMATION
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