Skin rash: Disease or drug?

Rash decisions: Lyme disease, or not?

More than a syndrome, Lyme disease (Lyme borreliosis) is a specific tickborne zoonosis caused in North America by infection with a single spirochetal agent, Borrelia burgdorferi sensu stricto [1]. Natural transmission cycles of B. burgdorferi involve various rodents as principal reservoirs of infection and distinct species of hard ticks in the Ixodes ricinus complex as vectors. In the Northeast...

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...

Gemcitabine induced skin rash.

Aripiprazole-induced skin rash

Adverse skin reactions are an important type of adverse drug reactions which have been reported with a wide variety of psychotropics including both typical and atypical antipsychotics. Like typical antipsychotics, atypical antipsychotics such as olanzapine, risperidone, and paliperidone have been documented to cause skin reactions. Reports of aripiprazole-induced skin reactions are sparse. We r...