Mucocutaneous Findings in Hematolymphoid Neoplasms: An Observational Study

    January 2023 in “ Indian Dermatology Online Journal
    Neirita Hazarika, Anmol Batra, Uttam Kumar Nath
    TLDR Skin and nail changes are common in patients with blood cancers undergoing chemotherapy, affecting their quality of life.
    This observational study, conducted on 172 patients with hematolymphoid neoplasms undergoing chemotherapy, found that 15.6% exhibited skin manifestations related to their malignancy, with 4.6% showing direct malignant cell infiltration. Chemotherapy-induced effects were prevalent, with 46.5% experiencing alopecia, particularly linked to cytarabine and methotrexate, and 47.1% having nail changes. Common non-infectious manifestations included cutaneous hyperpigmentation (31.4%) and xerosis (18.6%). The study emphasized the diagnostic challenges and significant impact on quality of life, advocating for early recognition and a multidisciplinary approach to manage these effects. Limitations included difficulties in histopathological confirmation and drug association due to polypharmacy.
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