Table 17.
System | Symptoms | Abnormalities in diagnostic test results | Suspected pathology |
---|---|---|---|
Skin |
Maculopapular rash Erythema multiforme Eczematous Psoriasiform Skin rash (maculopapular lesions) Dry skin |
Full skin and mucosal examination with attentionto lesion type and percentage of BSA percentage Skin biopsy (lichenoid dermatitis, spongiotic dermatitis, perivascular infiltrate rich in T lymphocytes, in bulbous dermatosessubepidermal blisters can be observed) |
Inflammatory dermatitis, rush |
Vitiligo-like lesions, usually bilaterally and symmetrically distributed | Full skin and mucosal examination with attention to lesion type and percentage of BSA percentage Skin biopsy (lichenoid dermatitis, spongiotic dermatitis, perivascular infiltrate rich in T lymphocytes, in bulbous dermatoses subepidermal blisters can be observed) | Vitiligo | |
Pemphigoid Skin blisters |
Full skin and mucosal examination with attention to lesion type and percentage of BSA percentage Skin biopsy (lichenoid dermatitis, spongiotic dermatitis, perivascular infiltrate rich in T lymphocytes, in bulbous dermatoses subepidermal blisters can be observed) | Bullous dermatoses | |
Changes in structure of skin Skin pain Fever Malaise Myalgias Arthralgias Abdominal pain Mucositis Lymphadenopathy |
Nikolsky sign present (swelling andwrinkling with detachment of upperlayers of the skin) | Severe Cutaneous Adverse Reactions(SCARs): Steven-Johnson syndrome,toxic epidermal necrolysis (TEN), acute generalized exanthematous pustulosis, DRESS/DIHS |