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Dimorphic exanthema manifested as reticular maculopapular exanthema and erythema multiforme major associated with pyrazolon derivatives


European Journal of Dermatology. Volume 12, Number 5, 488-90, September - October 2002, Cas cliniques

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Author(s) : WenChieh CHEN, Fu-Sen HSIEH

Summary : The non-steroidal anti-inflammatory drugs, especially various pyrazole or pyrazolon derivatives, were one of the classes of drugs commonly implicated in erythema multiforme or Stevens-Johnson syndrome/toxic epidermal necrolysis. Reticular exanthem was a rare morphological pattern of maculopapular drug eruptions. Here we report a case of dimorphic exanthema presenting with partly reticular maculopapular exanthema and erythema multiforme-like lesions, associated with pyrazolon derivatives. Patch testing showed negative reaction to the suspected drugs. The possible mechanism underlying the association of dimorphic exanthema with NSAIDs is discussed.

Keywords : antipyrine, dimorphic exanthema, erythema multifome, NSAIDs, reticular exanthem.

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