Diclofenac Induced Fixed Drug Eruption

Authors

  • Umeshchandra C Honnaddi PG Resident in MD Pharmacolgy, Department of Pharmacology, M.R. Medical College, Sedam Road Gulbarga
  • Banderao V. Patil Department of Pharmacology, GIMS, Sedam Road Gulbarga, Karnataka,
  • Madhushalini U. Honnaddi Vydehi Institute of Medical Sciences & Research Centre (VIMS), Bangalore, Karnataka,
  • Tharangini S. R Department of Pharmacology, M.R. Medical College, Sedam Road Gulbarga,
  • Dr. Sajid Department of Pharmacology, M.R. Medical College, Sedam Road Gulbarga,

DOI:

https://doi.org/10.7439/ijpr.v6i2.2883

Keywords:

Momordica charantia Linn., Diabetes mellitus, Terpenoids, Charantin

Abstract

Background: Diclofenac is the most commonly used non-steroidal anti-inflammatory drug (NSAID) for treating various inflammatory and painful conditions. It is generally well tolerated; gastric upset is the most common adverse effect. However very few cases of fixed drug eruptions were reported. Here we present a case of Diclofenac Induced Fixed Drug Eruption. A 62 year old male patient developed fixed drug eruptions with plaques on left thigh two days after receiving diclofenac for osteoarthritic pain. Other etiologies including insect bite, infections were ruled out. One week later after stopping the drug, the lesions were subsided. Diclofenac was strongly suspected as the casual drug. CD8+ effector T-cells have shown to play an important role. However it seems to be a reversible and drug related event. Although it is not life-threatening, fixed drug eruption can have significant effect on the quality of life of patients. Conclusion: Diclofenac is one of the most commonly prescribed NSAIDs by the Physicians. It is usually well tolerated, gastric upset is the most common adverse effect noted with this drug. This case is being reported to highlight a drug as safe as Diclofenac may also be associated with Fixed Drug Eruptions.

Downloads

Download data is not yet available.

Author Biography

  • Umeshchandra C Honnaddi, PG Resident in MD Pharmacolgy, Department of Pharmacology, M.R. Medical College, Sedam Road Gulbarga
    Department of Pharmacology

References

Guptha SD, Prabhakar SM, Sacchidanand S. Fixed drug eruption due to levocetirizine. Indian J Dermatol Venereol Leprol. 2005; 71:361

Malheiro D, Cadinha S, Rodrigues J, Vaz M, Castel-Branco MG. Nimesulide-induced fixed drug eruption. Allergol Immunopathol. 2005; 33:285

Goodman Gilman. The Pharmacological Basis of Therapeutics. McGraw-Hill Publication 12th Edition; 2011Chapter 34:986.

Shiohara T and Mizukawa Y. Fixed drug eruption: A disease mediated by self-inflicted responses of intraepidermal T cells. Europian Journal of Dermatology 2007; 17: 201-208.

Shiohara T, Nickoloff BJ, Sagawa Y et al., Fixed drug eruption. Expression of epidermal keratinocyte intercellular adhesion molecule-1 (ICAM-1), Arch Dermatol, 1989; 125: 1371-1376.

Shiohara T, Mizukawa Y, Fixed drug eruption: a disease mediated by self inflicted responses of intraepidermal T cells, Eur J Dermatol, 2007; 17: 201-208.

Shiohara T, Mizukawa Y, Teraki Y, Pathophysiology of fixed drug eruption: the role of skin resident T cells, Curr Opin Allergy Clin Immunol, 2002; 4: 317-323.

Chatterjee S, Ghosh AP, Barbhuiya J and Dey SK. Adverse cutaneous drug reactions: A one year survey at a dermatology outpatient clinic of a tertiary care hospital. Indian Journal of Pharmacology 2006; 38: 429-431.

Goodman Gilman. The Pharmacological Basis of Therapeutics. McGraw-Hill Publication 12th Edition; 2011 Chapter 34:959.

Lakshmi C and Srinivas CR. Systemic (allergic) contact dermatitis to diclofenac. Indian Journal Dermatology Venereology and Leprology 2011; 77- 536.

Sehgal VN, Srivastava G, Fixed drug eruption (FDE): changing scenario of incriminating drugs, Int J Dermatol, 2006; 45: 897-908.

Downloads

Published

2016-02-28

Issue

Section

Case Report

How to Cite

1.
Honnaddi UC, Patil BV, Honnaddi MU, S. R T, Sajid D. Diclofenac Induced Fixed Drug Eruption. Int J of Pharmc Res [Internet]. 2016 Feb. 28 [cited 2024 Oct. 18];6(2):86-8. Available from: https://ssjournals.co.in/index.php/ijpr/article/view/2883

Similar Articles

1-10 of 27

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)