Systemic Drug Related Intertriginous and Flexural Exanthema (SDRIFE) or Intertriginous Drug Eruption: a matter of semantics

Systemic drug-related intertriginous and flexural exanthema (SDRIFE) is a recently coined term to describe an uncommon adverse cutaneous drug reaction described previously as intertriginous drug eruption or flexural drug exanthema. Characteristic flexural erythema notably of the axillae and groins f...

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Main Authors: Dhaarna Wadhwa, Vikram K Mahajan
Format: Article
Language:English
Published: Our Dermatology Online 2019-01-01
Series:Nasza Dermatologia Online
Subjects:
Online Access:http://www.odermatol.com/issue-in-html/2019-1-11-exanthema/
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author Dhaarna Wadhwa
Vikram K Mahajan
author_facet Dhaarna Wadhwa
Vikram K Mahajan
author_sort Dhaarna Wadhwa
collection DOAJ
description Systemic drug-related intertriginous and flexural exanthema (SDRIFE) is a recently coined term to describe an uncommon adverse cutaneous drug reaction described previously as intertriginous drug eruption or flexural drug exanthema. Characteristic flexural erythema notably of the axillae and groins following systemic administration of offending drug may eventuate to TEN-like eruption with relative absence of systemic involvement. Beta-lactam antibiotics like amoxicillin remain the most common offending drug. A1-year-old boy developed SDRIEF overnight after oral amoxicillin(125mg) given for upper respiratory infection. The eruptions deteriorated evolving to TEN-like skin tenderness and exfoliation despite withdrawal of offending drug and treatment with oral cetirizine and prednisolone. It subsided within 1-2days after intravenous immunoglobulin treatment. The putative drugs and various pathogenetic mechanisms proposed for this very unusual adverse cutaneous drug reaction reflects that the nomenclature SDRIFE, intertriginous drug eruption or flexural drug exanthema is just semantics
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spelling doaj.art-38ca61e8cb3a4171a19265f6c1765b542022-12-21T18:40:44ZengOur Dermatology OnlineNasza Dermatologia Online2081-93902019-01-01101485010.7241/ourd.20191.11Systemic Drug Related Intertriginous and Flexural Exanthema (SDRIFE) or Intertriginous Drug Eruption: a matter of semanticsDhaarna Wadhwa0Vikram K Mahajan1Department of Dermatology, Venereology & Leprosy, Dr. R. P. Govt. Medical College, Kangra (Tanda)-176001 (Himachal Pradesh), IndiaDepartment of Dermatology, Venereology & Leprosy, Dr. R. P. Govt. Medical College, Kangra (Tanda)-176001 (Himachal Pradesh), IndiaSystemic drug-related intertriginous and flexural exanthema (SDRIFE) is a recently coined term to describe an uncommon adverse cutaneous drug reaction described previously as intertriginous drug eruption or flexural drug exanthema. Characteristic flexural erythema notably of the axillae and groins following systemic administration of offending drug may eventuate to TEN-like eruption with relative absence of systemic involvement. Beta-lactam antibiotics like amoxicillin remain the most common offending drug. A1-year-old boy developed SDRIEF overnight after oral amoxicillin(125mg) given for upper respiratory infection. The eruptions deteriorated evolving to TEN-like skin tenderness and exfoliation despite withdrawal of offending drug and treatment with oral cetirizine and prednisolone. It subsided within 1-2days after intravenous immunoglobulin treatment. The putative drugs and various pathogenetic mechanisms proposed for this very unusual adverse cutaneous drug reaction reflects that the nomenclature SDRIFE, intertriginous drug eruption or flexural drug exanthema is just semanticshttp://www.odermatol.com/issue-in-html/2019-1-11-exanthema/amoxicillinbaboon syndromeflexural drug eruptionintertriginous drug eruptionsdrife
spellingShingle Dhaarna Wadhwa
Vikram K Mahajan
Systemic Drug Related Intertriginous and Flexural Exanthema (SDRIFE) or Intertriginous Drug Eruption: a matter of semantics
Nasza Dermatologia Online
amoxicillin
baboon syndrome
flexural drug eruption
intertriginous drug eruption
sdrife
title Systemic Drug Related Intertriginous and Flexural Exanthema (SDRIFE) or Intertriginous Drug Eruption: a matter of semantics
title_full Systemic Drug Related Intertriginous and Flexural Exanthema (SDRIFE) or Intertriginous Drug Eruption: a matter of semantics
title_fullStr Systemic Drug Related Intertriginous and Flexural Exanthema (SDRIFE) or Intertriginous Drug Eruption: a matter of semantics
title_full_unstemmed Systemic Drug Related Intertriginous and Flexural Exanthema (SDRIFE) or Intertriginous Drug Eruption: a matter of semantics
title_short Systemic Drug Related Intertriginous and Flexural Exanthema (SDRIFE) or Intertriginous Drug Eruption: a matter of semantics
title_sort systemic drug related intertriginous and flexural exanthema sdrife or intertriginous drug eruption a matter of semantics
topic amoxicillin
baboon syndrome
flexural drug eruption
intertriginous drug eruption
sdrife
url http://www.odermatol.com/issue-in-html/2019-1-11-exanthema/
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