Journal List > Asian Oncol Nurs > v.14(1) > 1081799

Park: Differential Diagnosis between Hand-foot Syndrome and Gout in Colorectal Cancer with Capecitabine: A Case Study and Review of the Literature

Abstract

Purpose

This study is to present a case of a patient experiencing foot pain after being prescribed capecitabine and to review the differential diagnosis between hand-foot syndrome and gout.

Methods

This case is an 89-year-old patient endorsed to an emergency department with a 2-day history of foot swelling and pain.

Results

The old patient was treated with capecitabine which was orally administered twice daily for 2 weeks, followed by 1 week of rest. He experienced severe pain in his foot area during the 3rd chemotherapy cycle. Side effects must be assessed to keep treatment on course.

Conclusion

Clinical specialists should be knowledgeable of differential diagnosis.

Figures and Tables

Fig. 1
Patient-reported symptom. Erythema, Pain, and Edema of the Foot.
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Table 1
National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE)
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ADLs=activities of daily living.

Source=Yarbro CH, Wujcik D, Gobel BH. Cancer symptom management. Jones & Bartlett Learning; 2014.

Table 2
Recommendations for Prevention of Hand-Foot Syndrome
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Source=Yarbro CH, Wujcik D, Gobel BH. Cancer symptom management. Jones & Bartlett Learning; 2014.

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