Venetoclax‐Induced Symmetrical Drug‐Related Intertriginous and Flexural Exanthema ( <scp>SDRIFE</scp> ): Implications for Diagnosis and Treatment Continuation

Symmetrical drug-related intertriginous and flexural exanthema (SDRIFE) is an uncommon type of cutaneous drug eruption, most frequently associated with antibiotics such as amoxicillin. Reports of SDRIFE induced by anticancer agents remain limited. We describe a case of SDRIFE in a 77-year-old man treated with venetoclax for acute myeloid leukemia. The eruption developed shortly after drug initiation and resolved rapidly following drug withdrawal without systemic involvement. Notably, venetoclax was continued for a certain period after onset without progression of symptoms. This case highlights the importance of recognizing SDRIFE in patients receiving chemotherapy and suggests that continuation of the causative agent may be feasible in selected cases.

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Publication Details

Journal
The Journal of Dermatology
Published
2026-08-03
DOI
https://doi.org/10.1111/1346-8138.70445
Primary Topic
Drug-Induced Adverse Reactions
Type
article
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article

Venetoclax‐Induced Symmetrical Drug‐Related Intertriginous and Flexural Exanthema ( SDRIFE ): Implications for Diagnosis and Treatment Continuation

Nanako Tanaka, Ako Higashime, Atsuko Iso
The Journal of Dermatology
Drug-Induced Adverse Reactions
article

Venetoclax‐Induced Symmetrical Drug‐Related Intertriginous and Flexural Exanthema ( SDRIFE ): Implications for Diagnosis and Treatment Continuation

Nanako Tanaka, Ako Higashime, Atsuko Iso
article en

Abstract

Symmetrical drug-related intertriginous and flexural exanthema (SDRIFE) is an uncommon type of cutaneous drug eruption, most frequently associated with antibiotics such as amoxicillin. Reports of SDRIFE induced by anticancer agents remain limited. We describe a case of SDRIFE in a 77-year-old man treated with venetoclax for acute myeloid leukemia. The eruption developed shortly after drug initiation and resolved rapidly following drug withdrawal without systemic involvement. Notably, venetoclax was continued for a certain period after onset without progression of symptoms. This case highlights the importance of recognizing SDRIFE in patients receiving chemotherapy and suggests that continuation of the causative agent may be feasible in selected cases.

The Journal of Dermatology
Kagawa Prefectural Central Hospital (JP)
Good health and well-being
Openalex Percentile: Top 10%
Drug-Induced Adverse Reactions
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