Metformin-Induced Generalized Bullous Fixed-Drug Eruption with a Positive Dechallenge-Rechallenge Test: A Case Report and Literature Review

Metformin is a commonly used medication in diabetic patients. It can cause different complications including cutaneous adverse reactions. Metformin-induced fixed-drug eruption (FDE) has been reported in limited cases. Due to the popularity of metformin, clinicians need to be aware of uncommon drug r...

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Main Authors: Bahareh Abtahi-Naeini, Tooba Momen, Rezvan Amiri, Parvin Rajabi, Fereshte Rastegarnasab
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2023/6353919
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author Bahareh Abtahi-Naeini
Tooba Momen
Rezvan Amiri
Parvin Rajabi
Fereshte Rastegarnasab
author_facet Bahareh Abtahi-Naeini
Tooba Momen
Rezvan Amiri
Parvin Rajabi
Fereshte Rastegarnasab
author_sort Bahareh Abtahi-Naeini
collection DOAJ
description Metformin is a commonly used medication in diabetic patients. It can cause different complications including cutaneous adverse reactions. Metformin-induced fixed-drug eruption (FDE) has been reported in limited cases. Due to the popularity of metformin, clinicians need to be aware of uncommon drug reactions for proper diagnosis and treatment. Herein, we report a 43-year-old man with generalized bullous lesions with a positive dechallenge-rechallenge test diagnosed as metformin-induced generalized bullous fixed-drug eruption. Metformin dosage was stopped and lesions were treated with topical clobetasol propionate and oral prednisolone and cyclosporine-A. After a 6-month follow-up, he was well without any relapsing episodes.
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issn 2090-6471
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publishDate 2023-01-01
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series Case Reports in Dermatological Medicine
spelling doaj-art-fa096edb7bd441f6925eee373e1eae472025-08-20T03:06:31ZengWileyCase Reports in Dermatological Medicine2090-64712023-01-01202310.1155/2023/6353919Metformin-Induced Generalized Bullous Fixed-Drug Eruption with a Positive Dechallenge-Rechallenge Test: A Case Report and Literature ReviewBahareh Abtahi-Naeini0Tooba Momen1Rezvan Amiri2Parvin Rajabi3Fereshte Rastegarnasab4Pediatric Dermatology Division of Department of PediatricsDepartment of AsthmaLeishmaniasis Research CenterDepartment of PathologyStudent Research CommitteeMetformin is a commonly used medication in diabetic patients. It can cause different complications including cutaneous adverse reactions. Metformin-induced fixed-drug eruption (FDE) has been reported in limited cases. Due to the popularity of metformin, clinicians need to be aware of uncommon drug reactions for proper diagnosis and treatment. Herein, we report a 43-year-old man with generalized bullous lesions with a positive dechallenge-rechallenge test diagnosed as metformin-induced generalized bullous fixed-drug eruption. Metformin dosage was stopped and lesions were treated with topical clobetasol propionate and oral prednisolone and cyclosporine-A. After a 6-month follow-up, he was well without any relapsing episodes.http://dx.doi.org/10.1155/2023/6353919
spellingShingle Bahareh Abtahi-Naeini
Tooba Momen
Rezvan Amiri
Parvin Rajabi
Fereshte Rastegarnasab
Metformin-Induced Generalized Bullous Fixed-Drug Eruption with a Positive Dechallenge-Rechallenge Test: A Case Report and Literature Review
Case Reports in Dermatological Medicine
title Metformin-Induced Generalized Bullous Fixed-Drug Eruption with a Positive Dechallenge-Rechallenge Test: A Case Report and Literature Review
title_full Metformin-Induced Generalized Bullous Fixed-Drug Eruption with a Positive Dechallenge-Rechallenge Test: A Case Report and Literature Review
title_fullStr Metformin-Induced Generalized Bullous Fixed-Drug Eruption with a Positive Dechallenge-Rechallenge Test: A Case Report and Literature Review
title_full_unstemmed Metformin-Induced Generalized Bullous Fixed-Drug Eruption with a Positive Dechallenge-Rechallenge Test: A Case Report and Literature Review
title_short Metformin-Induced Generalized Bullous Fixed-Drug Eruption with a Positive Dechallenge-Rechallenge Test: A Case Report and Literature Review
title_sort metformin induced generalized bullous fixed drug eruption with a positive dechallenge rechallenge test a case report and literature review
url http://dx.doi.org/10.1155/2023/6353919
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