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Exanthematous drug eruption in Child
Other Resources UpToDate PubMed

Exanthematous drug eruption in Child

Contributors: Craig N. Burkhart MD, Dean Morrell MD
Other Resources UpToDate PubMed


Exanthematous, or morbilliform, eruptions are the most common of all medication-induced eruptions. They consist of red blanching macules and papules that begin on the head and trunk and spread symmetrically caudally and to the proximal extremities. In severe eruptions, lesions coalesce and may lead to generalized erythroderma. Palms, soles, and mucous membranes may also be involved. Pruritus is common, and fever may occur in more severe reactions.

Onset is usually within 7-14 days of initiating a medication, although it is not uncommon for exanthematous penicillin reactions to develop after 2 weeks from the onset of exposure. Scarlatiniform (pinpoint papular), sandpapery-feeling erythematous lesions may also be caused by medications. In dark-skinned children, postinflammatory hyper- or hypopigmentation may take weeks to months to resolve.

Almost any oral agent can cause an exanthematous reaction, but they are most commonly seen with the use of antibiotics (penicillins and sulfas), allopurinol, phenytoin, barbiturates, chlorpromazine, carbamazepine, gold, d-penicillamine, captopril, naproxen, and piroxicam, among others.


L27.0 – Generalized skin eruption due to drugs and medicaments taken internally

238814003 – Maculopapular drug eruption

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Last Updated:05/30/2017
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Exanthematous drug eruption in Child
A medical illustration showing key findings of Exanthematous drug eruption : Rash, Reaction 0 to 5 days after drug, Reaction 6 to 30 days after drug, Widespread distribution, Pruritus
Clinical image of Exanthematous drug eruption - imageId=2811647. Click to open in gallery.  caption: 'Widespread erythematous papules and plaques on the abdomen.'
Widespread erythematous papules and plaques on the abdomen.
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