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CASE REPORT
Rapid hair depigmentation in patient treated with pazopanib
  1. Robert Šeparović1,
  2. Mirjana Pavlović1,
  3. Tajana Silovski2,
  4. Ana Tečić Vuger1
  1. 1Department of Medical Oncology, Klinicki Bolnicki centar Sestre milosrdnice, Zagreb, Croatia
  2. 2Department of Oncology, Klinicki Bolnicki Centar Zagreb, Zagreb, Croatia
  1. Correspondence to Ana Tečić Vuger, ana.tecic{at}yahoo.com

Summary

Pazopanib is multitargeted tyrosine kinase inhibitor used for the treatment of metastatic renal cell carcinoma. Hair colour change is a common side effect of pazopanib therapy which usually develops gradually during few months of therapy. We report a case of the patient who developed multiple pazopanib side effects followed by rapid overnight hair and eyebrow depigmentation after only few weeks of therapy. In our research, we found no literature data of rapid loss of hair pigment due to therapy with any of listed multitargeted tyrosine kinase inhibitors. To the best of our knowledge, this is the first such case being reported. We presume that summation of different mechanisms probably led to rapid hair depigmentation. Considering the fact that pazopanib treatment was very effective in our patient, this side effect could be a good predictor of therapy success, although it presents very stressful event for patient and his family.

  • urological cancer
  • unwanted effects / adverse reactions

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Footnotes

  • Contributors All the authors contributed to creating a paper in a proportionate way to their position in the authors list. RŠ provided us with the idea of writing this case report, conception, gave a plan of action, reviewed the text when first version was prepared, gave all the necessary corrections, formed the final version of the text and wrote the final version of discussion. MP was patients physician; she wrote most of the case report and introduction and helped in writing discussion. TS reviewed the case report and wrote the first version of discussion. ATV acquired literature data and helped in writing introduction and discussion and submitted the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.