RT Book, Section A1 Konstantinov, Nikifor K. A1 Bigliardi, Paul L. A2 Soutor, Carol A2 Hordinsky, Maria K. SR Print(0) ID 1190937824 T1 Cutaneous Adverse Drug Reactions T2 Clinical Dermatology: Diagnosis and Management of Common Disorders, 2e YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781264257379 LK dermatology.mhmedical.com/content.aspx?aid=1190937824 RD 2024/04/24 AB Adverse drug reactions are typically classified into type A (augmented) and B (bizarre or idiosyncratic) reactions.1 Type A reactions are often predictable and cause dose-related toxicity, such as an increased risk of bleeding developing with a supratherapeutic INR (international normalized ratio) on warfarin. Type B reactions, on the other hand, are immune-mediated, allergic or intolerance reactions that often occur irrespective of the medication dose.2 Immune-mediated reactions can be further subdivided into immediate (often, but not always IgE mediated) reactions or delayed type, such as T-cell mediated reactions which can present with a variety of cutaneous and systemic manifestations.3 Immediate reactions occur within minutes to hours after medication exposure (usually after first exposure) and delayed type reactions appear hours or days after exposure to the drug.