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Table 3 Common clinical practices for management of radiation dermatitis in Asian countries

From: Asian expert recommendation on management of skin and mucosal effects of radiation, with or without the addition of cetuximab or chemotherapy, in treatment of head and neck squamous cell carcinoma

  Grade 1 Grade 2 Grade 3 Grade 4
Local treatment • No treatment is required • Keep the site clean and dry • Keep the site clean and dry • Keep the site clean and dry
• Avoid rubbing and maintain moisture and hygiene • Topical treatment with antiseptics/antibiotics/steroids is recommended • Topical treatment with antiseptics/antibiotics/steroids is recommended • Topical treatment with antiseptics/antibiotics/steroids is recommended
• Topical treatment with antiseptics/antibiotics/steroids may help
Systemic treatment • No treatment is required • No treatment is required • Oral antibiotics, pain-killers, corticosteroids or antihistamines for symptom relief • Oral antibiotics, pain-killers, corticosteroids or antihistamines for symptom relief
• Regular monitoring is recommended • Oral antibiotics, pain-killers, corticosteroids or antihistamines for symptom relief
• Temporary discontinuation or delay of cetuximab treatment
• Temporary discontinuation of cetuximab and radiation treatment