Unilaterale akrale Nekrosen als Abortivform einer palmoplantaren Erythrodysasthesie : Patientin mit unilateralen akralen Nekrosen unter Capecitabine -Therapie bei metastasiertem Mammakarzinom

Hand-foot syndrome is a common toxic side-effect, particularly during chemotherapy, with an incidence of 6-64% overall and 10-24% for capecitabine (Xeloda) monotherapy. Consequently, differential diagnostic considerations should include hand-foot syndrome when acral skin lesions appear, particularly during capecitabine monotherapy. The dosage should be reduced or therapeutic regimen changed. We present a unique patient who while on capecitabine developed unilateral acral necrosis which should be classified as a minor form of hand-foot syndrome.