Premium
Figurate Purpuric Eruptions on the Trunk: Acetaminophen‐induced Rashes
Author(s) -
Kwon Sang Jin,
Lee Chang Woo
Publication year - 1998
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.1998.tb02497.x
Subject(s) - medicine , acetaminophen , lesion , papillary dermis , provocation test , dermatology , extravasation , trunk , dermis , pathology , anesthesia , ecology , alternative medicine , biology
A 23‐year‐old man had recurrent erythematous purpuric patches in a transverse‐linear arrangement on his back and arms. One week prior to a recent episode, he took acetaminophen for 3 days. Four months earlier, he developed the same purpuric lesions at/around the same anatomical site when he took acetaminophen for pain‐relief. A biopsy specimen showed capillaritis and extravasation of erythrocytes in the papillary dermis. A provocation test with acetaminophen confirmed these lesions as drug‐induced rashes. The uncommon topographic and morphologic features of the purpuric lesion in this patient might be considered as an unusual expression of pigmented purpuric dermatosis caused by acetaminophen.