Telephone Triage Guidelines - St. James's Hospital

EGFR RashHAEMATOLOGY ONCOLOGY TELEPHONE TRIAGE GUIDELINESSKIN RASHESAssessment and management of anti-EGFR related skin rash1. Is the patient carrying out general skin care as follows (regardless of any rash)SPFMild soaps when cleansing the skinAvoid harsh laundry detergentsUse tepid water whenshowering/bathingAveeno oatmeal skin care rangeAvoid tight shoesYesNoFollow adviceaboveGrade rash andtreatappropriately2. Rash from anti-EGFR is either grade 1,2, or 3 and is acneiform in descriptionGrade 1 Grade 2 Grade 3Papules or pustules on faceand or trunk which may notbe itchy, painful anddisturbing QOL e.g.affecting sleep, or going outin public.Papules or pustules onface and trunk, notitchy, not painful, notaffecting QOLPapules or pustules onface and or trunk whichare severe, painfulitchy and seriouslyaffecting QOLHOPe Directorate, St. James‟s Hospital V2 201227