What skin and nail changes can occur with bleomycin sulfate treatment?

Bleomycin sulfate can cause redness, itching, rashes/hives, striae, ulcers, blisters/pressure bullae, hyperpigmentation, tender/swollen fingertips, hyperkeratosis, induration, oedema, flagellate dermatitis, scleroderma, hair loss and nail deformation/discolouration; in AIDS patients, treatment must be stopped and not resumed if cutaneous effects occur.