Radiation Recall Dermatitis Following Capivasertib Administration.

Shi, Yuhao; Tattersall, Ian W; Kobrinsky, Boris; Flamm, Alexandra; Cooper, Benjamin T · Pract Radiat Oncol · 2025

case_report · Level V

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Abstract

Radiation recall dermatitis is a known but rare adverse effect that is characterized by the development of dermatitis in the region of prior irradiated tissue triggered by exposure to a systemic agent. Capivasertib is a small-molecule inhibitor targeting the phosphatidylinositol 3-kinase/protein kinase B pathway recently approved in locally advanced and metastatic breast cancer; however, the safety of its use in the setting of palliative radiation is currently unclear. Here, we report a case of radiation recall dermatitis in a patient with metastatic breast cancer on capivasertib with history of radiation to the right lower extremity managed with corticosteroids, antibiotics, and switching to alpelisib.

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