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Systemic skin toxicity with anti-EGFR

Antiacne or antirosacea (erythromycin or clindamycin gel)

Mild

Topical corticosteroids

Antihistaminic if itching

Oral tetracycline: i.e. minocycline 100 mg/day (pustule)

Severe

Paronychia: hygiene, Potassium permanganate soak, topic steroids and antibiotics, silver

nitrate

Segaert S, Van Cutsem E. Ann Oncol 2005