Fixed Drug Reaction

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Retrieved
2021-01-18
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Fixed drug reactions, are common and so named because they recur at the same site with each exposure to a particular medication. Medications inducing fixed drug eruptions are usually those taken intermittently.

Signs and symptoms

A painful and itchy reddish/purple patch of skin that occurs in the same location with repeated exposures to the culprit drug is the classic presentation of a fixed drug reaction. The lips, genitals, and hands are often involved.

Cause

Medications that are commonly implicated as a cause of fixed drug eruptions include the following:

  • Cetirizine
  • Ciprofloxacin
  • Clarithromycin
  • Cotrimoxazole
  • Doxycycline
  • Fluconazole
  • NSAIDs (e.g., ibuprofen, Etoricoxib)
  • Phenytoin
  • Pseudoephedrine
  • Trimethoprim

See also

  • Drug eruption
  • List of cutaneous conditions
  • List of human leukocyte antigen alleles associated with cutaneous conditions
  • Stevens–Johnson syndrome