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Adverse events of Bruton's tyrosine kinase inhibitors (BTKis) used in the treatment of chronic lymphocytic leukemia (CLL) and other B-cell malignancies commonly include ecchymoses, purpura, and petechiae. Although second-generation BTKi are more selective than the first-generation BTKi, low-grade bleeding adverse events occur at similar rates in approximately one-third of patients.1 Several case reports describe an extensive ecchymotic patch on sun-exposed extremities in patients treated with BTKi, suggesting the role of repeated microtrauma and UV exposure.
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Kucharik et al. (2024) studied this question.
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