Table 1. | Summary of reported cases of aphthous-like stomatitis related to panitumumab |
Study | Time of onset (days)/number of cycle | Symptoms | History of recurrent aphthous stomatitis | Keratinized/non-keratinized mucosa | Steroid use | Clinical outcome/time | Recurrence | Panitumumab dose reduction or discontinuation (due to oral complications) |
---|---|---|---|---|---|---|---|---|
Gomes et al. [8] | 8/1st - 2nd | Pain, feeding discomfort | None | -/+ | Acetonide triamcinolone (topical) | Resolved/complete resolution in a mean time of 1 week (1 to 3 weeks) after the initial oral management | Yes |
Dose reduction in 2 patients.
Drug discontinuation in 1 patient |
7/1st - 2nd | +a/+ | No | Yes | |||||
11/1st - 2nd | -/+ | No | No | |||||
10/4th | +b/+ | Clobetasol propionate (topical) | No | |||||
10/1st - 2nd | -/+ |
Clobetasol propionate (topical), prednisone (per os) |
Yes | |||||
7/1st - 2nd | +a,c/+ | Clobetasol propionate (topical) | Yes | |||||
11/rechallenge of therapy | +d,e/+ | No | No | |||||
Thermos et al. [9] | 10/1st | Multiple oral aphthae | None | +a/+ |
Prednisolone (topical) |
Resolved/ 1 week |
Yes | Drug discontinuation |
Our case | 8/14th | Pain | None | -/+ | Dexamethasone (topical) |
Resolved/ 1 week |
No | No |
Lesions on keratinized mucosa: atip of the tongue; bgingiva; calveolar mucosa at mandibular torus; ddorsum of the tongue; eherpes infection. |