Fixed drug eruption due to clarithromycin

Fixed drug eruption (FDE) is an unusual adverse effect of any drug, especially antibiotics like clarithromycin. Herein we report a case of clarithromycin induced FDE in a 30-year-old man who presented with recurrent erythematous and pruritic cutaneous lesions on the lower lip, right hand and left th...

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Main Authors: Santoshi Balkrishna Malkarnekar, L Naveen
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Journal of Research in Pharmacy Practice
Subjects:
Online Access:http://www.jrpp.net/article.asp?issn=2319-9644;year=2013;volume=2;issue=4;spage=169;epage=171;aulast=Malkarnekar
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author Santoshi Balkrishna Malkarnekar
L Naveen
author_facet Santoshi Balkrishna Malkarnekar
L Naveen
author_sort Santoshi Balkrishna Malkarnekar
collection DOAJ
description Fixed drug eruption (FDE) is an unusual adverse effect of any drug, especially antibiotics like clarithromycin. Herein we report a case of clarithromycin induced FDE in a 30-year-old man who presented with recurrent erythematous and pruritic cutaneous lesions on the lower lip, right hand and left thigh. The lesions were initially misdiagnosed as lichen planus and treated with topical steroids. Each recurrence was at the same site and the lesions faded within 2 weeks leaving behind violacceous pigmentation. All the cutaneous lesions were reproduced following an oral provocation test thus confirming the diagnosis of clarithromycin induced FDE, which is a rare occurrence. When it does occur, it is often misdiagnosed, so physicians should be aware of this condition in order to prevent future recurrences as it causes a lot of cosmetic and physical discomfort to the patient.
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spelling doaj.art-852ba66d65bb4f8e8e5a373608ee6ab92022-12-21T18:38:24ZengWolters Kluwer Medknow PublicationsJournal of Research in Pharmacy Practice2319-96442279-042X2013-01-012416917110.4103/2279-042X.128152Fixed drug eruption due to clarithromycinSantoshi Balkrishna MalkarnekarL NaveenFixed drug eruption (FDE) is an unusual adverse effect of any drug, especially antibiotics like clarithromycin. Herein we report a case of clarithromycin induced FDE in a 30-year-old man who presented with recurrent erythematous and pruritic cutaneous lesions on the lower lip, right hand and left thigh. The lesions were initially misdiagnosed as lichen planus and treated with topical steroids. Each recurrence was at the same site and the lesions faded within 2 weeks leaving behind violacceous pigmentation. All the cutaneous lesions were reproduced following an oral provocation test thus confirming the diagnosis of clarithromycin induced FDE, which is a rare occurrence. When it does occur, it is often misdiagnosed, so physicians should be aware of this condition in order to prevent future recurrences as it causes a lot of cosmetic and physical discomfort to the patient.http://www.jrpp.net/article.asp?issn=2319-9644;year=2013;volume=2;issue=4;spage=169;epage=171;aulast=MalkarnekarClarithromycin; fixed drug eruption; oral provocation test
spellingShingle Santoshi Balkrishna Malkarnekar
L Naveen
Fixed drug eruption due to clarithromycin
Journal of Research in Pharmacy Practice
Clarithromycin; fixed drug eruption; oral provocation test
title Fixed drug eruption due to clarithromycin
title_full Fixed drug eruption due to clarithromycin
title_fullStr Fixed drug eruption due to clarithromycin
title_full_unstemmed Fixed drug eruption due to clarithromycin
title_short Fixed drug eruption due to clarithromycin
title_sort fixed drug eruption due to clarithromycin
topic Clarithromycin; fixed drug eruption; oral provocation test
url http://www.jrpp.net/article.asp?issn=2319-9644;year=2013;volume=2;issue=4;spage=169;epage=171;aulast=Malkarnekar
work_keys_str_mv AT santoshibalkrishnamalkarnekar fixeddrugeruptionduetoclarithromycin
AT lnaveen fixeddrugeruptionduetoclarithromycin