Treatment of Erythroderma Due to a Drug Reaction

Clinical Scenario

This protocol addresses erythroderma that arises as a direct consequence of a drug reaction — a recognised and clinically significant subset of erythroderma with distinct management considerations.

In case series, drug-related reactions represent the second most frequent cause of erythroderma, accounting for 11.3 to 21.6% of cases.

Treatment Approach

Management centres on systemic therapy directed at the inflammatory response. The protocol specifies which class of agent is appropriate as a first-line intervention in this setting.

The complete regimen — including agent selection, dosing schedule, and monitoring — is available in the full protocol.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1016/j.adengl.2018.05.033

In case series, drug-related reactions represent the second most frequent cause of erythroderma, ranging from 11.3 to 21.6% of cases.

Systemic corticosteroids Prednisone 1 mg/kg/24 h, then gradually decreased

Intravenous immunoglobulins High dose (1 g/kg/day for 3 days)

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