Drug rash: Difference between revisions
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==Disposition== | ==Disposition== | ||
*If no signs of [[anaphylaxis]] or significant sloughing, consider outpatient management | |||
==See Also== | ==See Also== | ||
Revision as of 11:54, 16 November 2019
Background
ABCs of Drug Rashes
- Acute generalized exanthematous pustulosis (AGEP)
- Bullous disease, drug induced
- Captopril (ACE-inhibitor) induced angioedema
- Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome
- SJS/TEN
Clinical Features
- Sudden, usually morbilliform, often starts on face & trunk & spreads
- More polymorphous than viral exanthem
Differential Diagnosis
Other Rash
- Acute generalized exanthematous pustulosis
- Allergic reaction
- Aphthous stomatitis
- Atopic dermatitis
- Coxsackie
- Dermatitis herpetiformis
- Exfoliative erythroderma
- Impetigo
- Pellagra
- Pityriasis rosea
- Serum Sickness
- Tinea capitus
- Tinea corporis
- Vitiligo
Evaluation
- Typically a clinical diagnosis
Management
- Discontinue offending agent
- Supportive
- Topical steroids may help relieve pruritus
Disposition
- If no signs of anaphylaxis or significant sloughing, consider outpatient management