Cetuximab associated dermal filler reaction

BMJ Case Rep. 2019 Aug 26;12(8):e228882. doi: 10.1136/bcr-2018-228882.

Abstract

A 52-year-old male patient with hyaluronic acid-based dermal fillers injected in his cheeks was diagnosed with glossotonsillary malignancy, and managed with concurrent cetuximab (epidermal growth factor receptor inhibitor) and radiation therapy. He developed significant inflammation around the dermal filler sites after first cycle of cetuximab which improved with dissolution of the dermal fillers with hyaluronidase. This suggests that cetuximab can lead to inflammation around the dermal filler sites, which can be treated with dissolution of the filler.

Keywords: chemotherapy; dermatology; head and neck cancer.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Agents, Immunological / administration & dosage
  • Antineoplastic Agents, Immunological / adverse effects
  • Cetuximab* / administration & dosage
  • Cetuximab* / adverse effects
  • Cosmetic Techniques
  • Dermal Fillers / adverse effects*
  • Dermatitis* / drug therapy
  • Dermatitis* / etiology
  • Humans
  • Hyaluronic Acid* / administration & dosage
  • Hyaluronic Acid* / adverse effects
  • Hyaluronoglucosaminidase / administration & dosage*
  • Male
  • Middle Aged
  • Mouth Neoplasms / drug therapy*
  • Mouth Neoplasms / pathology
  • Treatment Outcome

Substances

  • Antineoplastic Agents, Immunological
  • Dermal Fillers
  • Hyaluronic Acid
  • Hyaluronoglucosaminidase
  • Cetuximab