Aromatase inhibitors induced autoimmune disorders in patients with breast cancer: A review.

Abstract:

:Subacute cutaneous lupus erythematosus (SCLE) is characterized by particular cutaneous manifestations such as non-scaring plaques mainly in sunlight exposed parts of the body along with specific serum autoantibodies (i.e. antinuclear antibodies (ANA), Ro/SSa, La/SSb). It is considered either idiopathic or drug induced. The role of chemotherapeutic agents in causing SCLE has been investigated with the taxanes being the most common anticancer agents. However, recent data emerging point toward antiestrogen therapies as a causative factor not only for SCLE but also for a variety of autoimmune disorders. This is a report of a case of a 42 year old woman who developed clinical manifestations of SCLE after letrozole treatment in whom remission of the cutaneous manifestations was noticed upon discontinuation of the drug. In addition, an extensive review of the English literature has been performed regarding the association of antiestrogen therapy with autoimmune disorders. In conclusion, Oncologists should be aware of the potential development of autoimmune reactions in breast cancer patients treated with aromatase inhibitors.

journal_name

J Adv Res

authors

Zarkavelis G,Kollas A,Kampletsas E,Vasiliou V,Kaltsonoudis E,Drosos A,Khaled H,Pavlidis N

doi

10.1016/j.jare.2016.04.001

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

719-726

issue

5

eissn

2090-1232

issn

2090-1224

pii

S2090-1232(16)30021-2

journal_volume

7

pub_type

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