Man With Bleeding Gums and Skin Rash

Bleeding gums: duloxetine may be the cause.

Duloxetine is a newly introduced drug. It is being prescribed for the management of diabetic neuropathic pain and major depressive disorder. The most frequently observed adverse events with duloxetine are nausea, dry mouth and somnolence, constipation, diarrhea, decreased appetite, weight loss, feeling of fatigue, dizziness, somnolence, hypohidrosis, decreased libido and erectile dysfunction. O...

Photosensitive erythematous skin rash.

Volume 88, Number 7 www.aafp.org/afp American Family Physician 457 A 41-year-old man presented with a painful, erythematous, erosive, and scaly rash. It was symmetrically distributed over sun-exposed areas, involving his face, neck, dorsum of his hands and feet, and upper back (Figures 1 and 2). The rash and frequent loose stools had been present for several months. Neuropsychiatric evaluation ...

Skin rash following levetiracetam

A 19-year-old woman had secondary generalized seizures for 18 months due to a calcified parietal granuloma. She was treated with phenytoin (PHT) and sodium valproate. PHT was replaced with LEV 500 mg twice daily because of a recurrence of seizures. Having taken LEV for 10 days, she developed a generalized maculopapular itchy rash which spared the mucous membranes. LEV was stopped and she was pr...

COPD exacerbation associated with a skin rash.

ischemia. The appropriate management ofany patient who has experienced a cardiac arrest not related to a reversible mechanism (sepsis, pulmonary embolism) is to perform electrophysiology studies. The electrophysiology study is a reproducible method for studying the tachycardia and judging efficacy of antiarrhythmic drugs. If an antiarrhythmic drug can be found that prevents the provocation or i...

Gemcitabine induced skin rash.