Management of Treatment Resistant <scp>EGFR</scp> Inhibitor‐Induced Papulopustular Exanthema With Isotretinoin and Dapsone

Both isotretinoin and dapsone are effective, well-tolerated options for managing tetracycline-resistant EGFRi-induced papulopustular eruptions. Isotretinoin showed a trend toward faster improvement, while ultimate response rates were similar. Maintaining EGFRi therapy, even at reduced doses, in conjunction with dermatology treatment was associated with superior dermatological outcomes and higher survival at follow-up compared with cessation of EGFRi treatment, highlighting the importance of proactive dermatologic intervention to support oncologic treatment continuity.

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Publication Details

Journal
Australasian Journal of Dermatology
Published
2026-03-09
DOI
https://doi.org/10.1111/ajd.70087
Primary Topic
Acne and Rosacea Treatments and Effects
Type
article
Field-Weighted Citation Impact
0.00
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article

Management of Treatment Resistant EGFR Inhibitor‐Induced Papulopustular Exanthema With Isotretinoin and Dapsone

Pablo Fernández‐Peñas, Raquel Ruiz Araujo, Ishana Dixit
Australasian Journal of Dermatology
Acne and Rosacea Treatments and Effects
article

Management of Treatment Resistant EGFR Inhibitor‐Induced Papulopustular Exanthema With Isotretinoin and Dapsone

Pablo Fernández‐Peñas, Raquel Ruiz Araujo, Ishana Dixit
article en

Abstract

Both isotretinoin and dapsone are effective, well-tolerated options for managing tetracycline-resistant EGFRi-induced papulopustular eruptions. Isotretinoin showed a trend toward faster improvement, while ultimate response rates were similar. Maintaining EGFRi therapy, even at reduced doses, in conjunction with dermatology treatment was associated with superior dermatological outcomes and higher survival at follow-up compared with cessation of EGFRi treatment, highlighting the importance of proactive dermatologic intervention to support oncologic treatment continuity.

Australasian Journal of Dermatology
The University of Sydney (AU), Westmead Hospital (AU), UNSW Sydney (AU)
Good health and well-being
Openalex Percentile: Top 27%
Acne and Rosacea Treatments and Effects
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