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Serious Adverse Event Caused by Combined Target Therapy

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Clinical Cases in Melanoma

Part of the book series: Clinical Cases in Dermatology ((CLIDADE))

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Abstract

Combination therapy in the treatment of metastatic melanoma has more durable response rate rather than monotherapy. Although combined target therapy commonly causes a wide spectrum of adverse events, they are usually manageable. Toxic epidermal necrolysis represents severe mucocutaneous reaction, usually triggered by medications. Here we present a first case of toxic epidermal necrolysis induced by combined target therapy (vemurafenib plus cobimetinib). The case was observed in a young patient with BRAF mutant melanoma who was started on first-line metastatic immunotherapy with pembrolisumab. In conclusion, we emphasize the need to always compare drug efficacy with its potential adverse effects.

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Correspondence to Marija Delaš Aždajić .

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Poduje, S., Brozić, J.M., Prkačin, I., Aždajić, M.D., Goren, A. (2020). Serious Adverse Event Caused by Combined Target Therapy. In: Lotti, T., Tirant, M., Wollina, U. (eds) Clinical Cases in Melanoma. Clinical Cases in Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-50820-3_2

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  • DOI: https://doi.org/10.1007/978-3-030-50820-3_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-50819-7

  • Online ISBN: 978-3-030-50820-3

  • eBook Packages: MedicineMedicine (R0)

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