Abstract | INTRODUCTION: CASE REPORT: The patient developed recurrent toxic erythema on the skin of his lower extremities after each cycle of chemotherapy. Because of the misleading clinical features of the presentation, he was repeatedly treated with unnecessary antibiotics for " cellulitis." A skin biopsy revealed possible early leukocytoclastic vasculitis and epidermal dysmaturation. CONCLUSION: The true mechanism of this phenomenon remains unclear. Our case suggests that vasculitis might play a role in the pathophysiology. More attention should be paid to atypical presentations, with correlation of clinical judgment and tissue biopsy. There is no effective prevention or treatment except discontinuation of the precipitating agent, and unnecessary antimicrobial treatment should be avoided if possible.
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Authors | Jia Li, Christine J Ko, Muhammad Wasif Saif |
Journal | Cutaneous and ocular toxicology
(Cutan Ocul Toxicol)
Vol. 28
Issue 3
Pg. 144-8
( 2009)
ISSN: 1556-9535 [Electronic] England |
PMID | 19527102
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Antimetabolites, Antineoplastic
- Deoxycytidine
- Gemcitabine
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Topics |
- Antimetabolites, Antineoplastic
(administration & dosage, adverse effects, therapeutic use)
- Biopsy
- Cellulitis
(diagnosis, drug therapy, pathology)
- Deoxycytidine
(administration & dosage, adverse effects, analogs & derivatives, therapeutic use)
- Diagnosis, Differential
- Erythema Nodosum
(diagnosis, etiology, pathology)
- Humans
- Male
- Middle Aged
- Pancreatic Neoplasms
(drug therapy)
- Recurrence
- Vasculitis, Leukocytoclastic, Cutaneous
(chemically induced, diagnosis, pathology)
- Gemcitabine
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