Drug rash: Difference between revisions
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* Sudden, usually morbilliform, often starts on face & trunk & spreads | * Sudden, usually morbilliform, often starts on face & trunk & spreads | ||
* More polymorphous than viral exanthem | * More polymorphous than viral exanthem | ||
[[File:Drugreaction.jpg| | [[File:Drugreaction.jpg|300px|thumb|Morbilliform drug eruption on back]] | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 21:21, 31 October 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
Management
- Discontinue offending agent
- Supportive
- Topical steroids may help relieve pruritus