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Contributor

Sherry Guralnick Cohen, CRNP-F

Diagnosis

drug reaction, fixed drug reaction drug reaction, allopurinol

Body Site

leg thigh

Age

63 years

Pigmentation

light

Organization

scattered

Color

brown gray

Morphology

macular / flat (macule / patch)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

This 63-year-old woman developed itchy purple plaques on her thighs 3 weeks after starting allopurinol for gout. The inflammation and itching gradually resolved when the medication was discontinued leaving residual hyperpigmented macules.

Description

grayish brown 1-3 cm round patches

Categories

drug reaction hyperpigmentation

Image Added

7/31/2009 15:29:18

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Other Resources

PubMed Medline Plus Medscape

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