Review Article

Anticancer Drugs Induced Severe Adverse Cutaneous Drug Reactions: An Updated Review on the Risks Associated with Anticancer Targeted Therapy or Immunotherapies

Table 1

Anticancer chemotherapy-related severe cutaneous adverse drug reactions from the English literature (year: 1950–2017).

Drug classDrugPharmacologyReferencesTotal (n)MortalitySJSSJS/TENTEN

Alkylating agentsTreosulfanAlkysufonates[6]11001
ChlorambucilMustard gas derivatives[7, 8]20002
Mechlorethamine (topical)Nitrogen mustard[9]10100
TemozolomideHydrazines and triazines[10]10010
ProcarbazineHydrazines and triazines[1113]30003

Plant alkaloidsPaclitaxelTaxanes[14]10100
DocetaxelTaxanes[1519]52302
EtoposidePodophyllotoxins[20]10100

AnthracyclinesDoxorubicin[21]11001

AntimetabolitesMethotrexateFolic acid antagonists[2226]52203
CytarabinePyrimidine antagonist[27, 28]22002
FludarabineAdenosine deaminase inhibitor[29]11100
GemcitabinePyrimidine antagonist[3032]30210
CapecitabinePyrimidine antagonist[33]10100
CladribinePurine antagonist[34, 35]2NA101
6-MercaptopurinePurine antagonist[36]1NA001
TS-1 (tegafur-gimeracil-oteracil potassium)[37, 38]20101
PemetrexedMultitarget antifolate[39, 40]20002

Antitumor antibioticsBleomycin[41, 42]21002
Peplomycin[43]10100
Mithramycin[44, 45]20002

MiscellaneousLenalidomide[4648]1421211
Thalidomide[4953]51104
Asparaginase[54]10001
Total601328329

NA: not available.