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May 1970


Author Affiliations

University of California Division of Dermatology 225 W Dickinson St San Diego, Calif 92103

Arch Dermatol. 1970;101(5):621. doi:10.1001/archderm.1970.04000050125028

I would like to report the third case of fixed-drug eruption due to tetracycline. The second such reported case has recently been described.1

On two previous occasions I have developed intensely pruritic erythematous patches on the index finger and penis after having taken a number of oral doses of oxytetracycline. The areas were at first macular but soon became bullous. I was recently advised to undergo a course of tetracycline hydrochloride with the idea that plain tetracycline would be less likely to produce a drug eruption than the hydroxylated congener.

Within four hours of taking an oral dose of 250 mg of this drug I began to experience a pruritic, burning sensation in the same areas that had been affected previously. I did not take any further medication but within another two hours there had developed patches of bright red erythema in the pruritic areas. The reaction slowly subsided

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