• | 2-12 days after chemotherapy |
• | daunorubicin, cytarabine (ara-C), hydroxyurea, 5-fluorouracil, methotrexate |
• | toxic process (necrosis of keratinocytes) |
therapy:
• | pyridoxine, local therapy, topical steroids, cool compresses |
• | (cyclosporine increases pain, IV prednisone increase infection) |
ddx:
• | difficult to differentiate from GVHD in bone marrow recipient |
• | but totally different treatment; GVHD treatment includes systemic steroids and cyclosporine |
• | acrodynia (mercury poisoning) |
• | in children: Kawasaki (check perineum) |
see Toxic Erythema of Chemotherapy
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