Presentation
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FDE may have multiform presentations. [ncbi.nlm.nih.gov]
Butterworth-Heinemann, ٣٠/٠٤/٢٠١٥ - 656 من الصفحات Skin Diseases Nutrition and Metabolism presents a comprehensive examination of the interrelationship between dermatology and internal medicine. [books.google.com]
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Entire Body System
- Lymphadenopathy
Serum sickness is combination of urticaria, fever and arthralgia (sometimes lymphadenopathy, nephritis, endocarditis) and may be due to antibiotics especially cefaclor. [health.auckland.ac.nz]
Chancroid, which is caused by Haemophilus ducreyi, is characterized by deep, painful ulcers and tender, enlarged, and sometimes suppurative regional lymphadenopathy. [aafp.org]
On examination, the patient was alert, his pulse and blood pressure were normal; he had no pallor, no icterus, no lymphadenopathy, no clubbing, and no pedal edema. [ijhas.in]
There was a single superficial non-tender ulceration with erythematous halo over the glans without lymphadenopathy. There was no pus or discharge. He was nondiabetic and denied history of any sexual exposure. [ispub.com]
Lymphadenopathy is common, as is oedema of the head and neck Erythroderma (syn. generalised exfoliative dermatitis) - a red scaly rash affecting 90% or more of the skin surface. It can also be part of the Drug Hypersensitivity syndrome. [pcds.org.uk]
- Constitutional Symptom
It is characterized by distinctive skin eruptions and minimal constitutional symptoms [ 6 ]. [skin-diseases-and-skin-care.imedpub.com]
May be due to type 1hypersensitivity (e.g. penicillin), sometimes in association with anaphylaxis and constitutional symptoms (respiratory distress, vascular collapse and shock). [health.auckland.ac.nz]
Other cell surface molecules, such as CLA/alpha4beta1/CD4a, that bind E-selectin/vascular cellular adhesion molecule-2/ICAM1 help to further attract CD8 cells to the area. [24] The skin findings are usually associated with nonspecific constitutional symptoms [ispub.com]
Skin
- Photosensitivity
photosensitivity (sun) 692.72 plants NEC 692.6 plasters, medicated (any) 692.3 plastic 692.4 poison preservatives 692.89 primrose (primula) 692.6 primula 692.6 radiation 692.82 radioactive substance 692.82 radium 692.82 ragweed (Senecio jacobae) 692.6 [icd9data.com]
Onycholysis may be due to drug-induced photosensitivity. [health.auckland.ac.nz]
[…] or systemic drug Mechanisms not yet known Cumulation Reactions are dose dependent, based on the total amount of drug ingested: pigmentation due to gold, amiodarone, or minocycline Reactions due to combination of a drug with ultraviolet irradiation (photosensitivity [accessmedicine.mhmedical.com]
The most commonly associated drugs are antibiotics (ampicillin, penicillin, cephalosporins), the sulphonamides, isoniazid, phenytoin and carbamazepine, NSAID, gold, thiazides and allopurinol Photosensitive eruptions Figure 5 Refer to the chapter on Photodermatoses [pcds.org.uk]
Melasma, hirsutism 3. erythema nodosum 4. acne 5. photosensitivity 8. [slideshare.net]
- Erythema Annulare
Occasionally FDE mimicked lichen planus, erythema multiforme, Stevens-Johnson syndrome, paronychia, cheilitis, psoriasis, housewife's dermatitis, melasma, lichen planus actinicus, discoid lupus erythematosus, erythema annulare centrifugum, pemphigus vulgaris [ncbi.nlm.nih.gov]
Psychiatrical
- Withdrawn
They may resemble skin diseases very closely but generally fade away when the drug is withdrawn. Are drug eruptions dangerous? Some drug eruptions are life-threatening. [news-medical.net]
Ornidazole was withdrawn and she was prescribed oral prednisolone 40 mg daily along with povidone iodine mouth wash. The lesions got resolved in next 6 to 7 days. We found a probable association between this FDE and ornidazole. [edoj.org.eg]
Materials and Methods All patients having fixed drug reaction were subjected to provocation tests after the activity off all the lesions had subsided and the treatment was withdrawn completely. [ijdvl.com]
In general, the rash improves when the drug is withdrawn. This may occur quickly but in some cases takes weeks or longer. Adverse drug eruptions can be dangerous, especially toxic epidermal necrolysis (TEN) and drug hypersensitivity syndrome. [health.auckland.ac.nz]
Neurologic
- Irritability
Contact dermatitis due to iodine Contact dermatitis due to keratolytics Contact dermatitis due to mercurial Contact dermatitis due to neomycin Contact dermatitis due to pediculicide Contact dermatitis due to phenol Contact dermatitis due to scabicide Irritant [icd9data.com]
[…] of drug ingested: pigmentation due to gold, amiodarone, or minocycline Reactions due to combination of a drug with ultraviolet irradiation (photosensitivity ) Reactions have a toxic pathogenesis but can also be immunologic in nature (see Section 10 ) Irritancy [accessmedicine.mhmedical.com]
Non-allergic drug eruptions may be due to idiosyncratic drug reactions, enzyme deficiencies, irritant dermatitis, and cumulative toxicity. [news-medical.net]
UT Health San Antonio Dermatology offers patch testing to evaluate chronic skin sun allergy testing skin irritant testing contact dermatitis testing photo patch. After three months of life the 2009 study above. [delekkerbek.eu]
Type III immune complex mediated reactions: serum sickness, vasculitis Type IV cell mediated reactions: morbilliform rash, TEN Non-immunologic drug eruptions may be due to idiosyncratic reaction, hereditary enzyme deficiency, dose dependent cumulation, irritancy [health.auckland.ac.nz]
Urogenital
- Penile Lesion
The physical examination was normal except for the penile lesion. The patient denied any penile discharge and had one sexual partner who denied having any skin lesions or pruritus. [aafp.org]
Urol. (1985) [ Pubmed ] Pigmented penile lesions (fixed drug eruptions) associated with tetracycline therapy for sexually transmitted diseases. Fiumara, N.J., Yaqub, M. [wikigenes.org]
Treatment
The treatment of food allergy is fully covered. An in-depth account of the diagnosis, symptoms, and treatment of Plummer-Vinson syndrome are provided. The diseases of sebaceous and suboriferous glands are completely presented. [books.google.com]
The present study reports the case of a female patient that presented hyperchromic-concentric-pruriginous- spots on the skin of her hands after six months of treatment with CBZ. [ncbi.nlm.nih.gov]
Cutis 77:45–50 PubMed Ho SG et al (2011) A retrospective analysis of the management of acne post-inflammatory hyperpigmentation using topical treatment, laser treatment, or combination topical and laser treatments in oriental patients. [springermedizin.at]
After cyclophosphamide treatment of patients with systemic lupus erythematosus and dermatomyositis. Zonzits, E., Aberer, W., Tappeiner, G. [wikigenes.org]
The only treatment of drug eruptions is avoidance of the culprit drug. Treatment for Drug Eruptions Fixed Tips 1. Systemic corticosteroids may speed recovery in severe cases of drug hypersensitivity. 2. [streetdirectory.com]
Prognosis
They are quite frequent and diverse in their clinical presentation, pathogeny, histology and prognosis. Fixed pigmented erythema has a clinical appearance feature. It is one or more erythematous macules, becoming purplish or brown. [skin-diseases-and-skin-care.imedpub.com]
The mean age at presentation is 30.4 years in males and 31.3 years in females. [1] Prognosis The prognosis is very good, and an uneventful recovery should be expected. No deaths due to fixed drug eruption have been reported. [emedicine.medscape.com]
Lehman AF, the etiology determined, concomitant disease identified, Incakoih an Incakoib of symptom severity and prognosis made (Fig. Be- cause the same phases of the moon Crypto Accounts Incakoin periodically, 684 687 (1977). And Huang, C. [forexindicatoronline.com]
Etiology
Fixed drug eruptions on male genitalia: clinical and etiologic study. Sex Transm Dis 1984; 11: 164-166. Sehgal VH, Gangwani OP. Genital fixed drug eruptions. Genitourin Med 1986; 62: 56-58. Fischer G. [new.medigraphic.com]
Patients may recall a new drug; antimicrobials, analgesics, anticonvulsants, and sedatives are most commonly involved (for a comprehensive list, see “Etiology” below). [dermatologyadvisor.com]
The etiology of FDEs is still not completely understood. CD8 T cells retained in the lesions serving as an immunological memory may get activated on re-challenge. [jpharmacol.com]
Fixed drug eruption on male genitalia: clinical and etiological study. Sex Trans Dis 1984; 11: 164166. 10. Konwar AJ, Bharija SC, Singh M, et al. Ninety eight fixed drug eruption with provocation tests. Dermatologica 1988; 177: 274-279. 11. [ijdvl.com]
These unusual forms of FDE are likely to be overlooked unless the possibility of a drug etiology is routinely considered in the differential diagnosis of any patient with these diseases. [karger.com]
Epidemiology
Methods Statistics Trigonometry Medical & Nursing Anatomy Anesthesiology Audiology Bacteriology Biochemistry Bioethics Biomedical Science Cardiology Cardiovascular Childbirth Chiropractic Dentistry Dermatology Diagnostic Imaging Drugs Endocrinology Epidemiology [brainscape.com]
Epidemiological study of fixed drug eruption in Pointe-Noire. Int J Dermatol 2012;51(Suppl 1):30-1, 33-5. 14. Lim WS, Kim DH, Jin SY, Choi YS, Lee SH, Huh HJ, et al. A case of fixed drug eruption due to doxycycline and erythromycin present in food. [jcsjournal.org]
Thus, when reexposure to the drug occurs, a more rapid response develops in the exact location of any prior lesions. [9] Epidemiology Frequency United States The prevalence of drug eruptions has been reported to range from 2-5% for inpatients and greater [emedicine.medscape.com]
Pathophysiology
Am J Pathol 2002;161:1337-1347 Shiohara T, Mizukawa Y, Teraki Y: Pathophysiology of fixed drug eruption: the role of skin-resident T cells. [karger.com]
Pathophysiology of adverse cutaneous drug reactions - Applied perceptions: Part II. Skinmed 2012;10:373-83. 3. Pionetti CH, Kien MC, Alonso A. Fixed drug eruption due to loratadine. Allergol Immunopathol (Madr) 2003;31:291-3. 4. [jpharmacol.com]
Although the exact pathophysiology of FDE is unknown, recent research suggests a cell mediated process that initiates both the active and quiescent lesions. The process may involve an antibody dependent cell mediated cytotoxic response. [edoj.org.eg]
Pathophysiology of fixed drug eruption: The role of skin-resident T cells. Curr Opin Allergy Clin Immunol 2002;2:317-23. 7. Shiohara T. Fixed drug eruption: Pathogenesis and diagnostic tests. Curr Opin Allergy Clin Immunol 2009;9:316-21. 8. [ijhas.in]
Pathophysiology It is thought that the inciting agent binds to basal keratinocytes, or occasionally melanocytes, as a hapten. Intercellular adhesion molecule-1 (ICAM1) is released, which upregulates CD8 + T lymphocytes. [dermatologyadvisor.com]
Prevention
Fixed drug eruption induced by an iodinated non-ionic X-ray contrast medium: a practical approach to identify the causative agent and to prevent its recurrence. Eur Radiol. 2007 Feb. 17(2):485-9. [Medline]. [emedicine.medscape.com]
Objectives: Because epidermal injury in TEN can be locally reproduced in the evolving FDE lesions, we sought to investigate how epidermal damage can be induced in the evolving FDE lesions and how disease progression to TEN can be prevented, by analysing [aaaai.org]
We also carried out the causality, severity and preventibility assessment as per Naranjo alogarithm [18], Hartwig scale [19] scales respectively. [ispub.com]
• Although the action of intravenous hydrocortisone (100 mg) is delayed for several hours, it should be given to prevent further deterioration in severely affected patients. • Patients should be observed for 6 h after their condition is stable, as late [slideshare.net]
Purpuric rashes : These are caused by bleeding into the skin, in reaction to drugs such as medications that prevent the formation of platelets. [news-medical.net]