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. 2019 Jul 7;2019:4065437. doi: 10.1155/2019/4065437

Table 1.

Skin and subcutaneous tissue disorders management of different gradings based on CTCAE (Common Terminology Criteria for Adverse Events) [16].

Grading (CTCAE) General Cutaneous Features Steroids Immunosuppressives Management of Immunotherapy Outpatient or Inpatient care
1 Covers <10% BSA, limited, asymptomatic Not recommended Not recommended Continue Outpatient

2 Covers 10-30% BSA, minimal to moderate symptoms Topical or systemic steroids oral 0.5-1 mg/kg/d Not recommended Continue Outpatient

3 Covers >30% BSA, moderate or severe symptoms, limiting self-care ADLs Systemic steroids oral or IV 1-2 mg/kg/d for 3 days then to 1mg/kg/d Can consider if unresolved after 3-5 days of steroids Suspend, discuss risk/benefit with patient Outpatient or Inpatient for IV steroids

4 >30% BSA and fluid/electrolyte abnormalities Systemic IV methylprednisolone 1-2mg/kg/d for 3 days Can consider if unresolved after 3-5 days of steroids Discontinue permanently Inpatient and possible ICU or burn unit

BSA: body surface area.