{"id":7435,"date":"2020-04-24T12:01:16","date_gmt":"2020-04-24T15:01:16","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/exantema-intertriginoso-y-flexural-simetrico-relacionado-con-las-drogas\/"},"modified":"2020-04-27T16:22:30","modified_gmt":"2020-04-27T19:22:30","slug":"drug-related-symmetric-intertriginous-flexural-rash-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/exantema-intertriginoso-y-flexural-simetrico-relacionado-con-las-drogas\/","title":{"rendered":"Drug-related symmetric intertriginous and flexural rash"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/exantema-intertriginoso-y-flexural-simetrico-relacionado-con-las-drogas\/#Que-es-simetrico-relacionado-con-las-drogas-intertriginoso-y-flexural-%C2%BFexantema\" >What is symmetric drug-related intertriginous and flexural rash?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/exantema-intertriginoso-y-flexural-simetrico-relacionado-con-las-drogas\/#%C2%BFCuales-son-los-sintomas-del-exantema-intertriginoso-y-flexural-simetrico-relacionado-con-las-drogas\" >What are the symptoms of drug-related symmetric intertriginous and flexural exanthema?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/exantema-intertriginoso-y-flexural-simetrico-relacionado-con-las-drogas\/#Examema-intertriginoso-y-flexural-simetrico-relacionado-con-drogas-Sindrome-de-babuino\" >Drug-related symmetric intertriginous and flexural exam. Baboon syndrome.<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/exantema-intertriginoso-y-flexural-simetrico-relacionado-con-las-drogas\/#%C2%BFCual-es-la-causa-del-exantema-intertriginoso-y-flexural-simetrico-relacionado-con-las-drogas\" >What Causes Drug-Related Symmetric Intertriginous and Flexural Rash?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/exantema-intertriginoso-y-flexural-simetrico-relacionado-con-las-drogas\/#Investigaciones-en-exantema-intertriginoso-y-flexural-simetrico-relacionado-con-drogas\" >Investigations in drug-related symmetric intertriginous and flexural exanthema<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/exantema-intertriginoso-y-flexural-simetrico-relacionado-con-las-drogas\/#Manejo-del-exantema-intertriginoso-y-flexural-simetrico-relacionado-con-drogas\" >Management of drug-related symmetric intertriginous and flexural exanthema<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-simetrico-relacionado-con-las-drogas-intertriginoso-y-flexural-%C2%BFexantema\"><\/span>What is it <span class=\"term\" data-term-id=\"279\">symmetrical<\/span> drug related <span class=\"term\" data-term-id=\"1628\">intertriginous<\/span> and <span class=\"term\" data-term-id=\"497\">flexural<\/span> exanthema?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Drug-related symmetric flexural intertriginous rash (SDRIFE) describes a distinctive <span class=\"term\" data-term-id=\"967\">erythematous<\/span> <span class=\"term\" data-term-id=\"255\">eruption<\/span> what happens in the skin folds after <span class=\"term\" data-term-id=\"380\">systemic<\/span> exposure to a food or drug.<\/p>\n<p>The substance can be taken orally, injected or absorbed by some other route, resulting in general exposure of the body.<\/p>\n<p>Also called baboon <span class=\"term\" data-term-id=\"350\">syndrome<\/span> when the predominantly affected area is the buttocks, as was the case in the first patients described with the reaction.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-los-sintomas-del-exantema-intertriginoso-y-flexural-simetrico-relacionado-con-las-drogas\"><\/span>What are the symptoms of drug-related symmetric intertriginous and flexural exanthema?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The clinical picture of SDRIFE is <span class=\"term\" data-term-id=\"303\">well defined<\/span> redness of the buttocks, natal <span class=\"term\" data-term-id=\"1835\">cleft<\/span> and \/ or upper inner thighs that resemble the red underside of baboons. The redness often forms a V shape. The neck, armpits, and other skin folds may be involved, usually symmetrically, but sometimes only on one side. The affected person is not unwell and the rash is not accompanied by any other symptoms.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Examema-intertriginoso-y-flexural-simetrico-relacionado-con-drogas-Sindrome-de-babuino\"><\/span>Drug-related symmetric intertriginous and flexural exam. Baboon syndrome.<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='baboon-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5729630-4660379' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/baboon-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5729630.jpg'>\n<\/div>\n<p class=\"p-small\">Baboon syndrome. Drug-related symmetric intertriginous and flexural exam. SDRIFE<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='baboon__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6368471-6667105' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/baboon__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6368471.jpg'>\n<\/div>\n<p class=\"p-small\">Baboon syndrome. Drug-related symmetric intertriginous and flexural exam. SDRIFE<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-la-causa-del-exantema-intertriginoso-y-flexural-simetrico-relacionado-con-las-drogas\"><\/span>What Causes Drug-Related Symmetric Intertriginous and Flexural Rash?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In classic SDRIFE, the initial sensitization is by skin contact with the causative agent, then a rash with the particular appearance of baboon syndrome occurs when the agent is taken orally (systemic contact <span class=\"term\" data-term-id=\"53\">dermatitis<\/span>) It is not fully understood why the eruption should occur in these particular areas.<\/p>\n<p>Classic baboon syndrome was originally seen with mercury, nickel, and ampicillin.<\/p>\n<p>Since then, more than 100 cases of SDRIFE have been described, most of them without prior knowledge <span class=\"term\" data-term-id=\"1204\">sensitization<\/span> the causative agent. At least 50 causative medications have been reported to cause SDRIFE, including prescription and <span class=\"term\" data-term-id=\"1202\">on the counter<\/span> Products Amoxicillin and other beta-lactam antibiotics account for about half of the cases. Other miscellaneous <span class=\"term\" data-term-id=\"1715\">causal drugs<\/span> they have included pseudoephedrine, codeine, allopurinol, cimetidine, and nystatin.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Investigaciones-en-exantema-intertriginoso-y-flexural-simetrico-relacionado-con-drogas\"><\/span>Investigations in drug-related symmetric intertriginous and flexural exanthema<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"224\">Patch<\/span> The tests can be done several weeks after the patient has recovered from SDRIFE, and they can show a positive reaction to the suspected causative agent. An oral &quot;challenge&quot; may be given to the suspect.<\/p>\n<p>Skin <span class=\"term\" data-term-id=\"24\">biopsy<\/span> of affected skin may reveal a superficial mixture <span class=\"term\" data-term-id=\"228\">perivascular<\/span> <span class=\"term\" data-term-id=\"148\">inflammation<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Manejo-del-exantema-intertriginoso-y-flexural-simetrico-relacionado-con-drogas\"><\/span>Management of drug-related symmetric intertriginous and flexural exanthema<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The most important treatment at SDRIFE is to identify and stop the causative agent. The patient should be counseled to avoid the offending medication for life. <span class=\"term\" data-term-id=\"1330\">Current<\/span> steroids can reduce the redness while the reaction resolves.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es sim\u00e9trico relacionado con las drogas intertriginoso y flexural \u00bfexantema? El exantema intertriginoso y flexural sim\u00e9trico relacionado con las drogas (SDRIFE) describe un distintivo eritematoso erupci\u00f3n que ocurre en&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7435","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7435","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7435"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7435\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7435"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7435"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7435"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}