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Contributor

Kosman Sadek Zikry, MD

Diagnosis

drug reaction, fixed drug reaction

Body Site

lip vermillion/ vermilion border

Age

20 years

Pigmentation

dark

Organization

scattered

Color

red brown

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

This 20-year-old man developed an itchy painful eruption on the lips, tongue, and genitals after starting treatment for pharyngitis with oral trimethoprin-sulfamethoxasole. Lesions faded over several days when the medication was discontinued.

Description

well demarcated edematous hyperpigmented red purple plaques some with central ulceration

Categories

drug reaction hyperpigmentation

Image Added

8/1/2005 20:07:08

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Other Resources

PubMed Medline Plus Medscape

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