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Severe pan-uveitis in a patient treated with vemurafenib for metastatic melanoma.
Wolf, Sanne E J; Meenken, Christina; Moll, Annette C; Haanen, John B; van der Heijden, Michiel S.
Afiliação
  • Wolf SE; Department of Medical Oncology, Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands. MS.vd.Heijden@nki.nl.
BMC Cancer ; 13: 561, 2013 Dec 01.
Article em En | MEDLINE | ID: mdl-24289205
ABSTRACT

BACKGROUND:

Vemurafenib, an inhibitor of genetically activated BRAF, is now commonly prescribed for metastatic melanoma harboring a BRAF mutation. Reports on side effects have focused on cutaneous complications. We here present a case of a severe pan-uveitis associated with vemurafenib use. CASE PRESENTATION A 63-year old female was treated with the BRAF inhibitor vemurafenib for metastatic melanoma. After seven weeks of treatment, she developed near-complete visual loss in the course of a few days, as a result of severe uveitis. Vemurafenib had to be discontinued and systemic and topical corticosteroids were initiated. The visual symptoms improved slowly, however the cerebral metastases progressed and the patient died from her disease.

CONCLUSION:

Treatment with vemurafenib has become an important component of standard clinical care for patients with metastatic melanoma. In addition, it is one of the best examples of genotype-directed therapy. This case illustrates that vemurafenib-induced uveitis can develop fast and be slow to resolve. Awareness of this potentially severe side effect is of major importance to oncologists and aggressive treatment should be considered.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Cutâneas / Sulfonamidas / Uveíte / Neoplasias Encefálicas / Indóis / Melanoma / Antineoplásicos Limite: Female / Humans / Middle aged Idioma: En Ano de publicação: 2013 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Cutâneas / Sulfonamidas / Uveíte / Neoplasias Encefálicas / Indóis / Melanoma / Antineoplásicos Limite: Female / Humans / Middle aged Idioma: En Ano de publicação: 2013 Tipo de documento: Article