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Drug reactions are very diverse, and below are the types of drug reactions that cause scaly rashes: 1. Allergic contact dermatitis (eczema) • A localized allergic contact dermatitis is caused by topical preparations to which the patient has been sensitized by previous contact. The reaction appears within 48h of exposure. • Skin is itchy, oedematous, erythematous, and scaly (may not be scaly if acute). It may blister if the reaction is severe. • Eczema may generalize if contact persists or if the patient takes a cross-reacting oral preparation. • Consider allergic contact dermatitis in chronic leg ulcers, hand dermatitis, facial dermatitis, otitis externa, or pruritus ani. Causes include topical neomycin, benzocaine, incipients in topical medicaments, and topical hydrocortisone. • Allergy to the constituents of subcutaneous heparin presents with well-demarcated infiltrated eczematous plaques at injection sites. • Treat eczema with emollients and topical corticosteroid ointments. • Investigate possible allergic contact dermatitis […]