A Rare Case of Fixed Drug Eruption due to Ondansetron

Authors

  • Aditi Maitra Department of Clinical and Experimental Pharmacology, Calcutta School of Tropical Medicine, Kolkata, India;
  • Prerna Pathak Department of Dermatology and Venereology, Calcutta School of Tropical Medicine, Kolkata, India
  • Sabyasachi Paik Department of Clinical and Experimental Pharmacology, Calcutta School of Tropical Medicine, Kolkata, India;
  • Santanu Tripathi Department of Clinical and Experimental Pharmacology, Calcutta School of Tropical Medicine, Kolkata, India;
Abstract:

AbstractFixed drug eruption (FDE) is a unique type of cutaneous drug reaction that typically recurs in the identical locations on re-exposure to the attributed drug. FDE is characterized by the appearance of a single or multiple sharply demarcated violaceous erythematous plaques which heal with residual hyperpigmentation. A 27-year-old woman presented with multiple dark patches over her eyelids, mouth, lips, and shoulders of 1 week’s duration. These lesions followed multiple erythematous plaques over the same areas which appeared within 4 hours of the intake of an ondansetron tablet, 12 days previously. The case was diagnosed as post-inflammatory hyperpigmentation following ondansetron-induced FDE. There was an identical episode 1 year earlier due to the intake of the same drug. The causality assessment pointed toward a probable/likely association as per the Naranjo algorithm and the WHO–UMC scale. There have been only a few cases of FDE due to ondansetron in the reported literature.

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Journal title

volume 42  issue 5

pages  497- 500

publication date 2017-09-01

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