Severe Type of Minocycline-Induced Hyperpigmentation Mimicking Peripheral Arterial Occlusive Disease in a Bullous Pemphigoid Patient

Minocycline is a tetracycline group antibiotic that is known to cause significant antibacterial and anti-inflammatory effects. Minocycline has been widely used to treat systemic infection, acne, dermatitis, and rosacea. However, various dose-related side effects of hyperpigmentation in whole body tis...

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Main Authors: Meng-Yu Wu, Yueh-Tseng Hou, Giou-Teng Yiang, Andy Po-Yi Tsai, Ching-Hsiang Lin
Format: Article
Language:English
Published: MDPI AG 2019-07-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/8/3/93
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author Meng-Yu Wu
Yueh-Tseng Hou
Giou-Teng Yiang
Andy Po-Yi Tsai
Ching-Hsiang Lin
author_facet Meng-Yu Wu
Yueh-Tseng Hou
Giou-Teng Yiang
Andy Po-Yi Tsai
Ching-Hsiang Lin
author_sort Meng-Yu Wu
collection DOAJ
description Minocycline is a tetracycline group antibiotic that is known to cause significant antibacterial and anti-inflammatory effects. Minocycline has been widely used to treat systemic infection, acne, dermatitis, and rosacea. However, various dose-related side effects of hyperpigmentation in whole body tissues have been reported. Three main types of minocycline-induced hyperpigmentation have been identified. In rare severe hyperpigmentation cases, drug-induced hyperpigmentation can mimic local cellulitis or peripheral arterial occlusive disease (PAOD). These processes require different therapeutic strategies. Therefore, early diagnosis is extremely important for physicians to determine the etiology of the hyperpigmentation, and subsequently discontinue the minocycline if indicated. We describe a rare case presenting a severe form of type III minocycline-induced hyperpigmentation mimicking peripheral arterial occlusive disease in a bullous pemphigoid patient.
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spelling doaj.art-09598e86cebc49de894b952d5edd33942022-12-22T01:15:50ZengMDPI AGAntibiotics2079-63822019-07-01839310.3390/antibiotics8030093antibiotics8030093Severe Type of Minocycline-Induced Hyperpigmentation Mimicking Peripheral Arterial Occlusive Disease in a Bullous Pemphigoid PatientMeng-Yu Wu0Yueh-Tseng Hou1Giou-Teng Yiang2Andy Po-Yi Tsai3Ching-Hsiang Lin4Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, TaiwanDepartment of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, TaiwanDepartment of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, TaiwanDepartment of Medical Research, Buddhist Tzu Chi General Hospital, Hualien 970, TaiwanDepartment of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, TaiwanMinocycline is a tetracycline group antibiotic that is known to cause significant antibacterial and anti-inflammatory effects. Minocycline has been widely used to treat systemic infection, acne, dermatitis, and rosacea. However, various dose-related side effects of hyperpigmentation in whole body tissues have been reported. Three main types of minocycline-induced hyperpigmentation have been identified. In rare severe hyperpigmentation cases, drug-induced hyperpigmentation can mimic local cellulitis or peripheral arterial occlusive disease (PAOD). These processes require different therapeutic strategies. Therefore, early diagnosis is extremely important for physicians to determine the etiology of the hyperpigmentation, and subsequently discontinue the minocycline if indicated. We describe a rare case presenting a severe form of type III minocycline-induced hyperpigmentation mimicking peripheral arterial occlusive disease in a bullous pemphigoid patient.https://www.mdpi.com/2079-6382/8/3/93hyperpigmentationminocyclineperipheral arterial occlusive diseasebullous pemphigoid
spellingShingle Meng-Yu Wu
Yueh-Tseng Hou
Giou-Teng Yiang
Andy Po-Yi Tsai
Ching-Hsiang Lin
Severe Type of Minocycline-Induced Hyperpigmentation Mimicking Peripheral Arterial Occlusive Disease in a Bullous Pemphigoid Patient
Antibiotics
hyperpigmentation
minocycline
peripheral arterial occlusive disease
bullous pemphigoid
title Severe Type of Minocycline-Induced Hyperpigmentation Mimicking Peripheral Arterial Occlusive Disease in a Bullous Pemphigoid Patient
title_full Severe Type of Minocycline-Induced Hyperpigmentation Mimicking Peripheral Arterial Occlusive Disease in a Bullous Pemphigoid Patient
title_fullStr Severe Type of Minocycline-Induced Hyperpigmentation Mimicking Peripheral Arterial Occlusive Disease in a Bullous Pemphigoid Patient
title_full_unstemmed Severe Type of Minocycline-Induced Hyperpigmentation Mimicking Peripheral Arterial Occlusive Disease in a Bullous Pemphigoid Patient
title_short Severe Type of Minocycline-Induced Hyperpigmentation Mimicking Peripheral Arterial Occlusive Disease in a Bullous Pemphigoid Patient
title_sort severe type of minocycline induced hyperpigmentation mimicking peripheral arterial occlusive disease in a bullous pemphigoid patient
topic hyperpigmentation
minocycline
peripheral arterial occlusive disease
bullous pemphigoid
url https://www.mdpi.com/2079-6382/8/3/93
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