| b. Muco-cutaneous | Yes | No |
| Cheilitis |
|
|
| Conjunctivitis |
|
|
| Pharyngitis |
|
|
| Maculo-papular rash |
|
|
| Urticarial rash |
|
|
| Extremities edema |
|
|
| Extremities desquamation |
|
|
| Other, specify: |
|
|