A common reality of CAM use is the fact that patients rarely disclose its details to their oncology treatment teams and other HCPs due to multiple reasons. This case is yet another example that highlights the necessity for meticulous record-keeping by physicians and health care professionals (HCPs) of their patients’ use of complementary and alternative medication (CAM), especially among cancer patients. On routine clinic follow-up evaluation almost 6 months after the discontinuation of docetaxel, she was noticed to have a deep yellowish discoloration of her hands (Figure 1) but not the sclera, associated with no itching nor change in color of her urine or stool. Docetaxel was held after two more cycles, but both anti-HER2 drugs were continued along with endocrine therapy with an aromatase inhibitor. The patient’s breast exam was negative except for a 3-cm left breast mass with a retracted nipple.įollowing detailed discussion with the patient, she was started on chemotherapy, initially with doxorubicin and cyclophosphamide, then her regimen was switched to docetaxel along with anti-HER2 therapy with both trastuzumab and pertuzumab, which resulted in almost total disappearance of both liver and lung lesions after the 6th cycle.
She had no symptoms related to her disease and her Eastern Cooperative Oncology Group (ECOG) performance status was zero. She was also known to have thalassemia trait and negative family history for malignancy. She had a history of hypertension that was controlled on bisoprolol and hydrochlorothiazide. Further evaluation showed multiple bilateral pulmonary and liver metastases along with a highly suspicious active bone lesion in the proximal end of the right humerus. Additionally, the patient’s human epidermal growth factor receptor 2 (HER2) was positive, with a +3 score by immunohistochemical (IHC) staining. The tumor was positive for both estrogen (ER) and progesterone receptors (PR). On presentation, she had a breast lump, a biopsy of which confirmed a diagnosis of invasive ductal carcinoma, grade II.
Yellow tinge to skin skin#
We provide the visible sign of yellowish skin discoloration as a visible aid for healthcare providers in detecting turmeric consumption as a risk factor to be considered in differential diagnoses of unexplained neutropenia.Ī 51-year-old female patient was diagnosed with breast cancer in August 2016. This report demonstrates that, as an alternative form of medication, curcumin consumption should still be monitored in cancer patients. When her white blood cell counts returned to normal, only after stopping her turmeric regimen, we determined that her neutropenia is associated with turmeric consumption making this the first report to establish this link. She also had severe neutropenia, which persisted despite halting chemotherapy. The patient presented with yellowish discoloration of her skin, but normal-colored sclera. In this report, we describe the case of a 51-year-old female breast cancer patient who self-medicated on large amounts of turmeric root infusions while receiving chemotherapy. Bilirubin is formed from the breakdown of red blood cells.The medicinal use of curcumin has gained popularity in recent years especially so among cancer patients undergoing chemotherapy. This yellow color is caused by a high level of bilirubin, a yellow-orange bile pigment. Jaundice is a condition in which the skin, sclera (whites of the eyes) and mucous membranes turn yellow. Subsequently, one may also ask, what are the shades of yellow? The shades of each color have a lot to do with how well these colors go with each other. Certainly, burgundy and gold (shades of red and yellow) go very well together.
Pastel yellow can work on you as well but always make sure it doesn't wash you out.īeside above, does yellow and red match? There are several flags that use a red and yellow color scheme. Light to fair skin tone: Mustard and dark yellows will complement your skin tone the best. Likewise, what skin tone can wear yellow?
Yellow tinge to skin plus#
To build the perfect yellow color scheme, pick one or two shades of yellow to use as accents, plus a dark neutral and doses of white for a balanced color palette. Mix and Match Colors One of the best qualities of yellow is that it goes great with nearly every other color-white, orange, green, pink, blue, brown.
0 kommentar(er)
