Osimertinib, a third-generation epidermal growth factor receptor tyrosine kinase inhibitor, is widely used for the treatment of epidermal growth factor receptor-mutant non-small cell lung cancer. However, cutaneous toxicity remains a frequent adverse event, and its underlying molecular mechanisms remain poorly understood.In this study, we investigated osimertinib-induced cutaneous toxicity using HaCaT keratinocytes exposed to osimertinib (0.5 μM) and C57BL/6 mice treated with osimertinib (50 mg/kg/day for 42 consecutive days), with or without cryptotanshinone (10, 20, or 40 mg/kg/day). Osimertinib exposure induced inflammatory activation and epidermal dysfunction in mouse skin. In keratinocytes, DLX3 exhibited a biphasic response, with early induction followed by progressive depletion after prolonged exposure. DLX3 deficiency increased susceptibility to osimertinib-induced apoptosis, whereas osimertinib accelerated DLX3 protein turnover through a lysosome-associated process.Osimertinib-induced DLX3 depletion was accompanied by increased STAT3 phosphorylation and alterations in autophagy–lysosome-associated markers. Cryptotanshinone suppressed STAT3 phosphorylation, restored DLX3 protein abundance, and reduced osimertinib-induced apoptosis, DNA damage, and inflammatory responses. Loss of DLX3 weakened the protective effects of cryptotanshinone. In mice, cryptotanshinone alleviated osimertinib-induced skin lesions, epidermal injury, apoptosis, mast cell infiltration, and systemic inflammation.Collectively, these findings identify progressive DLX3 depletion, accompanied by STAT3 activation and autophagy–lysosome-related alterations, as a potential mechanism underlying osimertinib-induced cutaneous toxicity and suggest that preservation of DLX3 protein homeostasis may represent a strategy for mitigating drug-induced skin injury.