Pathogenesis > Iatrogenic > Skin Side Effects of Drugs

Skin Side Effects of Drugs

Top  Previous  Next

Side Effect:        Drug:

 

Alopecia

after immunization (esp. Hep B)
retinoids:  decreased number in anagen

       

 

Drug classes associated with hair loss

anti-hypertensives
anti-cancer
anti-coagulants (coumadin)
anti-depressants
NSAIDS (and prednisone)

 

Acral erythema

cytarabine
doxorubicin
5-FU

 

Acne

isoniazid
lithium
phenytoin
halogens
bromides (e.g. Pro-Banthine = propantheline bromide)
iodides in vitamins with minerals
(and of course:  hormones, glucocorticoids)

       

Acanthosis nigricans

OCP
glucocorticoids
niacin (nicotinic acid) mnemonic - too little and you get Casal's necklace, too much and you get a "dirty neck" (i.e. acanthosis nigricans)

       

AGEP

acetaminophen        
macrolides
beta-lactams

  OCP, sulfonamides

Erythema nodosum OCP, sulfonamides        

 

Fixed drug

tetracyclines
Sulfonamides
NSAIDs
phenolphthalein
barbiturates

 

Hyperpigmentation:

chlorpromazine (argyria-like "argyria-like" = blue-grey (?))
amiodarone (argyria-like; photo-distributed)
chloroquine (blue-grey shins)
minocycline (blue-grey; especially areas of inflammation or scarring)
aminoquinolones
zidovudine (especially nails)

 

DRESS Syndrome sulfonamides, aromatic anticonvulsants        

 

LCV (drug induced):

streptokinase
PCN/ sulfonamides
thiazides
serum/ vaccines
OCP

       

LE systemic LE (vs. SCLE which is another list of drugs) (drug induced):(= anti-histone antibodies)        

procainamide
hydralazine
chlorpromazine
isoniazid
minocycline

 

Lichenoid drug:

anti-hypertensive's (esp. captopril)
beta-blockers
thiazides
chloroquine

 

Linear IgA dermatosis vancomycin, lithium, captopril:        

 

livedo reticularis amantadine        

 

mast cell degranulators

aspirin, opiates, polymyxin B
alcohol, warm baths, radio-contrast dye
procaine

       

melasma-like hyperpigmentation estrogen, phenytoin        

 

Neutrophilic eccrine hidradenitis cytarabine        

 

Pemphigus

(usually foliaceus)
mnemonic = CRAPP
captopril, rifampin, ampicillin, penicillamine, penicillin

 

Photosensitizing Drugs:

thiazides
tetracyclines*
sulfonamides
amiodarone
NSAIDS**

 

Photolichenoid Drug Eruption: thiazides, quinidine (for cramps etc..), NSAIDS        

 

PR-like captopril, gold        

 

Pseudolymphoma (MF-like) anti-convulsant, anti-depressants, anti-histamines        

 

Pseudoporphyria (~ a phototoxic Rx)

naproxen (Naprosyn)        
nabumetone (Relafen)
oxaprozin (Daypro)
tetracyclines

 

Psoriasis (exacerbates):

NSAIDs,
beta-blockers
lithium
anti-malarials
(post-systemic steroids)

       

 

Purpura glucocorticoids        

 

SCLE

beta-blockers
Calcium channel blockers
thiazides
terbanifine

 

 
Serum-sickness-like cefaclor, minocycline        

 

*(minocycline is the least photosensitizing of the tetracyclines)

** see Pseudoporphyria