Drug Reaction, Drug Reaction, Lichenoid, Drug Reaction, Hyperpigmentation - DermAtlas

Contributor

Chris Ha, MD

Diagnosis

drug reaction drug reaction, lichenoid drug reaction, hyperpigmentation

Body Site

chest abdomen

Age

52 years

Pigmentation

dark

Organization

Color

Morphology

papulosquamous (bump, scale)

Pattern

Comments

A 52 year old woman complained of an widespread itchy rash present for 3 years. A skin biopsy of the lichenoid hyperpitmented papules showed a lichenoid interface dermatitis. Direct immunofluorescence and serologic studies for connective tissue disease were negative. Further history revealed that the rash started within 6 weeks of starting distiazem. The medication was discontinued and she was treated with a tapering course of oral prednisone and topical steroids.

Description

diffuse hyperpigmented lichenoid papules

Image Added

11/4/2001 16:11:04

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Other Resources

PubMed Medline Plus Medscape

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