Acral erythema - Cellulitis DDx
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Synopsis
Reactions may occur sooner (24 hours to 3 weeks) and more severely with bolus chemotherapy than with low-dose continuous infusion and are usually reproducible with challenge.
Acral erythema may occur as part of a broader eruption, known as toxic erythema of chemotherapy, in which acral and intertriginous areas are involved. It is characterized by a painful erythematous rash, often with associated edema located on the palms, fingers, and soles preceded by dysesthesia.
Acral erythema may be distinguished from cellulitis by its characteristic location, history of chemotherapy, and the fact that it nearly always occurs bilaterally.
Codes
L27.1 – Localized skin eruption due to drugs and medicaments taken internally
SNOMEDCT:
403638003 – Acral erythema due to cytotoxic therapy
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Last Updated:01/09/2024