Highlights
- •Eruptive melanocytic naevi is a rare phenomenon often triggered by medications.
- •Elexacaftor/tezacaftor/ivacaftor improves lung function in cystic fibrosis patients.
- •This is the first known report of Elexacaftor/tezacaftor/ivacaftor causing EMN.
- •After initial eruption EMN often remains stable despite treatment continuation.
- •Careful outpatient monitoring is needed to prevent dysplastic change of new naevi.
Abstract
A 29 year old woman with cystic fibrosis (CF) presented to CF clinic following the
sudden development of over 200 pigmented naevi located predominately on the trunk
and limbs 3 months after commencing elexacaftor/tezacaftor/ivacaftor, a novel triple-therapy
CFTR modulator therapy for CF. Skin biopsy confirmed benign naevi and the clinical
presentation was consistent with eruptive melanocytic naevi. Elexacaftor/tezacaftor/ivacaftor
received marketing authorisation in August 2020 and this is the first report of associated
naevi. The individual described here remains clinically well, and continues on elexacaftor/tezacaftor/ivacaftor
with dermatology follow-up.
Key Words
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Article info
Publication history
Published online: June 22, 2022
Accepted:
June 7,
2022
Received in revised form:
June 5,
2022
Received:
February 18,
2022
Identification
Copyright
© 2022 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.