Metronidazole-Induced Bullous Pemphigoid: A Case Report

Bullous pemphigoid is an autoimmune cutaneous blistering disorder, the exact pathogenesis of which is still not fully elucidated. Drug-induced bullous pemphigoid eruptions are rare but have been reported earlier with the use of frusemide, psoralens, ibuprofen, galantamine hydrobromide, ACE inhibit...

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Main Authors: Saibal Moitra, Sukanta Sen, Indranil Banerjee, Ayan Sikder, Prasanta Das
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2015-12-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/6972/14669_CE(Ra1)_F(GH)_PF1(VIAK)_PFA(AK)_PF2(PAG).pdf
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author Saibal Moitra
Sukanta Sen
Indranil Banerjee
Ayan Sikder
Prasanta Das
author_facet Saibal Moitra
Sukanta Sen
Indranil Banerjee
Ayan Sikder
Prasanta Das
author_sort Saibal Moitra
collection DOAJ
description Bullous pemphigoid is an autoimmune cutaneous blistering disorder, the exact pathogenesis of which is still not fully elucidated. Drug-induced bullous pemphigoid eruptions are rare but have been reported earlier with the use of frusemide, psoralens, ibuprofen, galantamine hydrobromide, ACE inhibitors like captopril, spironolactone, penicillin, ampicillin, levofloxacin, penicillamine. We hereby report a case of metronidazole induced bullous pemphigoid (BP) in a 52-year-old male patient suffering from liver abscess following 4 days of drug administration. The skin biopsy findings obtained from the patient were consistent with the diagnosis of bullous pemphigoid (BP). Metronidazole was discontinued and symptomatic treatment was offered to the patient. Following withdrawal of metronidazole, the bullae subsided in the next 7-10 days without any significant residual scarring. The causality assessment performed as per the Naranjo algorithm revealed the case to be probable (Naranjo score 7).
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spelling doaj.art-c9064c8b0afb4b8c965b0186dbab77f92022-12-22T00:08:47ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-12-01912FD01FD0310.7860/JCDR/2015/14669.6972Metronidazole-Induced Bullous Pemphigoid: A Case ReportSaibal Moitra0Sukanta Sen1Indranil Banerjee2Ayan Sikder3Prasanta Das4Pulmonologist, Department of Pulmonary Medicine, Charnock Hospital & Research Centre Pvt. Ltd., Kolkata, West Bengal, India.Associate Professor, Department of Pharmacology, ICARE Institute of Medical Sciences & Research, Haldia, West Bengal, India.Assistant Professor, Department of Pharmacology, Lady Hardinge Medical College, New Delhi, India.ICU Registrar, Department of Emergency Medicine, Chittaranjan Seva Sadan, Bhawanipur, Kolkata, West Bengal, India.Respiratory Therapist, Department of Pulmonary Medicine, Charnock Hospital & Research Centre Pvt. Ltd., Kolkata, West Bengal, India.Bullous pemphigoid is an autoimmune cutaneous blistering disorder, the exact pathogenesis of which is still not fully elucidated. Drug-induced bullous pemphigoid eruptions are rare but have been reported earlier with the use of frusemide, psoralens, ibuprofen, galantamine hydrobromide, ACE inhibitors like captopril, spironolactone, penicillin, ampicillin, levofloxacin, penicillamine. We hereby report a case of metronidazole induced bullous pemphigoid (BP) in a 52-year-old male patient suffering from liver abscess following 4 days of drug administration. The skin biopsy findings obtained from the patient were consistent with the diagnosis of bullous pemphigoid (BP). Metronidazole was discontinued and symptomatic treatment was offered to the patient. Following withdrawal of metronidazole, the bullae subsided in the next 7-10 days without any significant residual scarring. The causality assessment performed as per the Naranjo algorithm revealed the case to be probable (Naranjo score 7).https://jcdr.net/articles/PDF/6972/14669_CE(Ra1)_F(GH)_PF1(VIAK)_PFA(AK)_PF2(PAG).pdfadverse drug reactioncutaneous drug eruptionsdrug-induced bullous pemphigoid
spellingShingle Saibal Moitra
Sukanta Sen
Indranil Banerjee
Ayan Sikder
Prasanta Das
Metronidazole-Induced Bullous Pemphigoid: A Case Report
Journal of Clinical and Diagnostic Research
adverse drug reaction
cutaneous drug eruptions
drug-induced bullous pemphigoid
title Metronidazole-Induced Bullous Pemphigoid: A Case Report
title_full Metronidazole-Induced Bullous Pemphigoid: A Case Report
title_fullStr Metronidazole-Induced Bullous Pemphigoid: A Case Report
title_full_unstemmed Metronidazole-Induced Bullous Pemphigoid: A Case Report
title_short Metronidazole-Induced Bullous Pemphigoid: A Case Report
title_sort metronidazole induced bullous pemphigoid a case report
topic adverse drug reaction
cutaneous drug eruptions
drug-induced bullous pemphigoid
url https://jcdr.net/articles/PDF/6972/14669_CE(Ra1)_F(GH)_PF1(VIAK)_PFA(AK)_PF2(PAG).pdf
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AT indranilbanerjee metronidazoleinducedbullouspemphigoidacasereport
AT ayansikder metronidazoleinducedbullouspemphigoidacasereport
AT prasantadas metronidazoleinducedbullouspemphigoidacasereport