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DermAtlas: HIP - drug reaction, fixed
© 2001-2009, DermAtlas		 Image Name: fixed_drug_eruption_1_080610   File Type: jpg
Diagnosis: DRUG REACTION, FIXED /
TARGET LESION /
URTICARIA /
ERYTHEMA MULTIFORME 		  Category:
Body Site: hip / thigh   Age: 19 years
Contributor: Bernard Cohen, MD    
Description: red to violaceous 2-3.5 cm patches and plaques some with dusky centers and 2-4 mm blanching red papules with surrouding pallor
Comments: This adolescent boy developed itchy, burning edematous violaceous and red plaques with dusky purple centers (targets) following several doses of doxycycline. The lesions were fixed and slowly progressive for 2 days and a painful lesion on the distal penile shaft and glans interfered with passing urine.
Related Images: All related Images  fixed_drug_eruption_8_080610  fixed_drug_eruption_7_080610  fixed_drug_eruption_6_080610  fixed_drug_eruption_5_080610  fixed_drug_eruption_4_080610  fixed_drug_eruption_3_080610  fixed_drug_eruption_2_080610 
DermAtlas: HIP - drug reaction, fixed
© 2001-2009, DermAtlas		 Image Name: fixed_drug_eruption_2_080610   File Type: jpg
Diagnosis: DRUG REACTION, FIXED /
TARGET LESION /
URTICARIA /
ERYTHEMA MULTIFORME 		  Category:
Body Site: hip / thigh   Age: 19 years
Contributor: Bernard Cohen, MD    
Description: red to violaceous 2-3.5 cm patches and plaques some with dusky centers and 2-4 mm blanching red papules with surrouding pallor
Comments: This adolescent boy developed itchy, burning edematous violaceous and red plaques with dusky purple centers (targets) following several doses of doxycycline. The lesions were fixed and slowly progressive for 2 days and a painful lesion on the distal penile shaft and glans interfered with passing urine.
Related Images: All related Images  fixed_drug_eruption_8_080610  fixed_drug_eruption_7_080610  fixed_drug_eruption_6_080610  fixed_drug_eruption_5_080610  fixed_drug_eruption_4_080610  fixed_drug_eruption_3_080610  fixed_drug_eruption_1_080610 
DermAtlas: HIP - drug reaction, fixed
© 2001-2009, DermAtlas		 Image Name: fixed_drug_eruption_3_080610   File Type: jpg
Diagnosis: DRUG REACTION, FIXED /
TARGET LESION /
URTICARIA /
ERYTHEMA MULTIFORME 		  Category:
Body Site: hip / suprapubic area   Age: 19 years
Contributor: Bernard Cohen, MD    
Description: red to violaceous 2-3.5 cm patches and plaques some with dusky centers and 2-4 mm blanching red papules with surrouding pallor
Comments: This adolescent boy developed itchy, burning edematous violaceous and red plaques with dusky purple centers (targets) following several doses of doxycycline. The lesions were fixed and slowly progressive for 2 days and a painful lesion on the distal penile shaft and glans interfered with passing urine.
Related Images: All related Images  fixed_drug_eruption_8_080610  fixed_drug_eruption_7_080610  fixed_drug_eruption_6_080610  fixed_drug_eruption_5_080610  fixed_drug_eruption_4_080610  fixed_drug_eruption_2_080610  fixed_drug_eruption_1_080610 
DermAtlas: HIP - drug reaction, fixed
© 2001-2009, DermAtlas		 Image Name: fixed_drug_eruption_4_080610   File Type: jpg
Diagnosis: DRUG REACTION, FIXED /
TARGET LESION /
URTICARIA /
ERYTHEMA MULTIFORME 		  Category:
Body Site: hip / penis
scrotum / genital 		  Age: 19 years
Contributor: Bernard Cohen, MD    
Description: red to violaceous 2-3.5 cm patches and plaques some with dusky centers and 2-4 mm blanching red papules with surrouding pallor
Comments: This adolescent boy developed itchy, burning edematous violaceous and red plaques with dusky purple centers (targets) following several doses of doxycycline. The lesions were fixed and slowly progressive for 2 days and a painful lesion on the distal penile shaft and glans interfered with passing urine.
Related Images: All related Images  fixed_drug_eruption_8_080610  fixed_drug_eruption_7_080610  fixed_drug_eruption_6_080610  fixed_drug_eruption_5_080610  fixed_drug_eruption_3_080610  fixed_drug_eruption_2_080610  fixed_drug_eruption_1_080610 
DermAtlas: FOOT - drug reaction, fixed
© 2001-2009, DermAtlas		 Image Name: fixed_drug_eruption_5_080610   File Type: jpg
Diagnosis: DRUG REACTION, FIXED /
TARGET LESION /
URTICARIA /
ERYTHEMA MULTIFORME 		  Category:
Body Site: foot / toe   Age: 19 years
Contributor: Bernard Cohen, MD    
Description: target plaque with scattered urticaria
Comments: This adolescent boy developed itchy, burning edematous violaceous and red plaques with dusky purple centers (targets) following several doses of doxycycline. The lesions were fixed and slowly progressive for 2 days and a painful lesion on the distal penile shaft and glans interfered with passing urine.
Related Images: All related Images  fixed_drug_eruption_8_080610  fixed_drug_eruption_7_080610  fixed_drug_eruption_6_080610  fixed_drug_eruption_4_080610  fixed_drug_eruption_3_080610  fixed_drug_eruption_2_080610  fixed_drug_eruption_1_080610 
DermAtlas: FOOT - drug reaction, fixed
© 2001-2009, DermAtlas		 Image Name: fixed_drug_eruption_6_080610   File Type: jpg
Diagnosis: DRUG REACTION, FIXED /
TARGET LESION /
URTICARIA /
ERYTHEMA MULTIFORME 		  Category:
Body Site: foot / toe   Age: 19 years
Contributor: Bernard Cohen, MD    
Description: target plaque with scattered urticaria
Comments: This adolescent boy developed itchy, burning edematous violaceous and red plaques with dusky purple centers (targets) following several doses of doxycycline. The lesions were fixed and slowly progressive for 2 days and a painful lesion on the distal penile shaft and glans interfered with passing urine.
Related Images: All related Images  fixed_drug_eruption_8_080610  fixed_drug_eruption_7_080610  fixed_drug_eruption_5_080610  fixed_drug_eruption_4_080610  fixed_drug_eruption_3_080610  fixed_drug_eruption_2_080610  fixed_drug_eruption_1_080610 
DermAtlas: EYE LID - drug reaction, fixed
© 2001-2009, DermAtlas		 Image Name: fixed_drug_eruption_7_080610   File Type: jpg
Diagnosis: DRUG REACTION, FIXED /
TARGET LESION /
URTICARIA /
ERYTHEMA MULTIFORME 		  Category:
Body Site: eye lid   Age: 19 years
Contributor: Bernard Cohen, MD    
Description: violaceous well demarcated edematous plaques with crusting
Comments: This adolescent boy developed itchy, burning edematous violaceous and red plaques with dusky purple centers (targets) following several doses of doxycycline. The lesions were fixed and slowly progressive for 2 days and a painful lesion on the distal penile shaft and glans interfered with passing urine.
Related Images: All related Images  fixed_drug_eruption_8_080610  fixed_drug_eruption_6_080610  fixed_drug_eruption_5_080610  fixed_drug_eruption_4_080610  fixed_drug_eruption_3_080610  fixed_drug_eruption_2_080610  fixed_drug_eruption_1_080610 
DermAtlas: HIP - drug reaction, fixed
© 2001-2009, DermAtlas		 Image Name: fixed_drug_eruption_8_080610   File Type: jpg
Diagnosis: DRUG REACTION, FIXED /
TARGET LESION /
URTICARIA /
ERYTHEMA MULTIFORME 		  Category:
Body Site: hip / thigh   Age: 19 years
Contributor: Bernard Cohen, MD    
Description: red to violaceous 2-3.5 cm patches and plaques some with dusky centers and 2-4 mm blanching red papules with surrouding pallor
Comments: This adolescent boy developed itchy, burning edematous violaceous and red plaques with dusky purple centers (targets) following several doses of doxycycline. The lesions were fixed and slowly progressive for 2 days and a painful lesion on the distal penile shaft and glans interfered with passing urine.
Related Images: All related Images  fixed_drug_eruption_7_080610  fixed_drug_eruption_6_080610  fixed_drug_eruption_5_080610  fixed_drug_eruption_4_080610  fixed_drug_eruption_3_080610  fixed_drug_eruption_2_080610  fixed_drug_eruption_1_080610 
DermAtlas: FACE - erythema multiforme
© 2001-2009, DermAtlas		 Image Name: erythema_multiforme_1_030624   File Type: jpg
Diagnosis: ERYTHEMA MULTIFORME /
STEVENS-JOHNSON SYNDROME 		  Category: reactive erythema /
vesiculobullous eruptions
Body Site: face / lip
mouth 		  Age: 8 years
Contributor: Bernard Cohen, MD    
Description: symmetric discrete and confluent red papules on cheeks; crusts and erosions on lips
Comments: This healthy 8-year-old boy developed crusted erosions on his lips, erosions on his palate and buccal mucosa, and discrete and confluent red papules some with central bullae on his upper chest and distal extremities including the palms and soles. His eyes were clear. He was admitted to the hospital for rehydration, because he was unable to eat of drink. He was treated with oral steroid, and was discharged 3 days later with good oral intake and decreased oral pain. He had clinical features overlapping Stevens-Johnson syndrome and erythema multiforme (classic Von Hebra type). The lack of conjunctival involvement is unusual for Stevens-Johnson syndrome, but the involvement of the mouth, trunk, and extremities was more typical. The involvement of the distal extremities and the presence of target lesions on the dorsum and ventral surfaces of his hands and feet is typical of erythema multiforme.
Related Images: All related Images  erythema_multiforme_5_030624  erythema_multiforme_4_030624  erythema_multiforme_3_030624  erythema_multiforme_2_030624 
DermAtlas: ARM - erythema multiforme
© 2001-2009, DermAtlas		 Image Name: erythema_multiforme_2_030624   File Type: jpg
Diagnosis: ERYTHEMA MULTIFORME /
STEVENS-JOHNSON SYNDROME 		  Category: reactive erythema /
vesiculobullous eruptions
Body Site: arm   Age: 8 years
Contributor: Bernard Cohen, MD    
Description: symmetric discrete and confluent red papules
Comments: This healthy 8-year-old boy developed crusted erosions on his lips, erosions on his palate and buccal mucosa, and discrete and confluent red papules some with central bullae on his upper chest and distal extremities including the palms and soles. His eyes were clear. He was admitted to the hospital for rehydration, because he was unable to eat of drink. He was treated with oral steroid, and was discharged 3 days later with good oral intake and decreased oral pain. He had clinical features overlapping Stevens-Johnson syndrome and erythema multiforme (classic Von Hebra type). The lack of conjunctival involvement is unusual for Stevens-Johnson syndrome, but the involvement of the mouth, trunk, and extremities was more typical. The involvement of the distal extremities and the presence of target lesions on the dorsum and ventral surfaces of his hands and feet is typical of erythema multiforme.
Related Images: All related Images  erythema_multiforme_5_030624  erythema_multiforme_4_030624  erythema_multiforme_3_030624  erythema_multiforme_1_030624 
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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD
DermAtlas was last updated: Oct-28-2009
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