By Disease Name > Acral Erythema of Chemotherapy

Acral Erythema of Chemotherapy

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•tender palms and soles
•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
•erythromelalgia
•acrodynia (mercury poisoning)
•in children: Kawasaki (check perineum)

 

see Toxic Erythema of Chemotherapy