Skin sensitivity

[Landon Cahow]

Hi All,

Anyone have a patient who has severe skin sensitivity while on ICI therapy? No rash, no itching, just has this super sensitive skin that he can’t stand to be touched and even his clothes bother him.

Thanks all!
Lisa

[Alayna Wilson]

Hi Lisa- I can honestly say I have not; I wonder if it is some sort of underlying neuromuscular issue. That type of pain is typically nerve related. I wonder if it hyperesthesia representing NM inflammation. Is there thought to trying gabapentin?

Please provide an update on your patient’s clinical course and work-up. I am curious…..

[Anonymous]

I have not seen that either, but agree with Krista that it sounds nerve related. Keep us posted on him.

[Anonymous]

I haven’t seen such a thing, but I’d consider gabapentin to help. Keep us posted!

[Samantha Guild]

I have had 1 patient in the past with sensitive skin ( no rash or itching) as you have described, steroids were not helpful however gabapentin was helpful, pt remained on it until the sx resolved, If I recall it was a couple of months.

[Landon Cahow]

Krista-

I too wondered the same thing. I talked to him this week and it has improved, but not gone. He didn’t want to start anything as of yet, so will continue to monitor.

Take care,
Lisa

[Alayna Wilson]

I wonder if topical capsaicin cream would help. He could try it in focal areas (like feet) to see if it helped.

[Alayna Wilson]

I wonder if topical capsaicin cream would help. He could try it in focal areas (like feet) to see if it helped.

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