TY - CHAP M1 - Book, Section TI - Chapter 227. Cytotoxic and Antimetabolic Agents A1 - High, Whitney A. A1 - Fitzpatrick, James E. A2 - Goldsmith, Lowell A. A2 - Katz, Stephen I. A2 - Gilchrest, Barbara A. A2 - Paller, Amy S. A2 - Leffell, David J. A2 - Wolff, Klaus PY - 2012 T2 - Fitzpatrick's Dermatology in General Medicine, 8e AB - |PrintCytotoxic and Antimetabolic Agents at a GlanceCytotoxic and antimetabolic agents are used in dermatology to treat serious, life-threatening, and recalcitrant disease.Common agents used in dermatology include methotrexate, azathioprine, mycophenolate mofetil, thioguanine, hydroxyurea, cyclophosphamide, chlorambucil, and liposomal doxorubicin.Methotrexate is US Food and Drug Administration (FDA) approved for treatment of psoriasis and advanced mycosis fungoides, whereas cyclophosphamide is FDA approved for advanced mycosis fungoides only, and liposomal doxorubicin is approved for acquired immunodeficiency syndrome-related Kaposi sarcoma; other uses of the agent in this chapter occur on an “off-label” basis.Cytotoxic and antimetabolic agents act through inhibition and/or interruption of the cell cycle.Side effects and complications with these potentially dangerous medications are numerous, and close clinical follow-up and laboratory evaluation is necessary.Cytotoxic agents used in dermatology, as well as those initiated for other purposes, may yield distinctive cutaneous eruptions and cutaneous sequelae. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/25 UR - accessmedicine.mhmedical.com/content.aspx?aid=56099314 ER -