A Case of Concomitant Psoriatic Exfoliative Dermatitis and Pulmonary TB with Adverse Drug Reaction to Rifampicin
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 11
Abstract
ABSTRACT Erythroderma or exfoliative dermatitis is scaling and erythema of skin involving more than 90% of total skin surface area and is a serious and difficult condition to treat because of large areas of involvement and multiple associated complications. Psoriasis is an important cause of exfoliative dermatitis and so is adverse drug reaction. Pulmonary tuberculosis, common in India, is usually ruled out before starting any systemic treatment like immunosuppressants in the latter. Development of tuberculosis in a psoriasis patient is a challenging situation wherein the clinician has to look for the pros and cons before choosing each step in management as one can aggravate the other. The condition becomes more troublesome if it is superadded by adverse drug reaction to one of the Antitubercular (ATT) drugs. Here, authors present a case with psoriatic exfoliative dermatitis, psoriatic arthritis and pulmonary tuberculosis with adverse drug reaction to Rifampicin from Category 1 ATT; which was identified following a drug-rechallenge test and eventual management of all the conditions concurrently.
Authors and Affiliations
Neethu Mary George, Veena Thimmappa, Narendra Gangaiah, Amruthavalli Potlapati
Keywords
Related Articles
- EP ID EP526274
- DOI 10.7860/JCDR/2018/37858.12303
- Views 77
- Downloads 0
Changes in Haematological Parameters in Newborns Born to Preeclamptic Mothers - A Case Control Study in a Rural Hospital
Introduction: Pregnancy is a physiological phenomenon. However, some women develop problems during pregnancy period, which puts both the mother's and the foetus health at risk. Hypertensive disorders of pregnancy are the...
Mapping the Healthcare Service Quality Domain: A Bibliometric Analysis
ABSTRACT Introduction: Quality in healthcare services has become a subject of study, acquiring a special connotation for both individual and collective health services. Aim: To examine the scientific literature on health...
Comparison of Fentanyl and Nalbuphine as an Adjuvant to 0.5% Bupivacaine for Ultrasound Guided Supraclavicular Brachial Plexus Block
ABSTRACT Introduction: Supraclavicular brachial plexus block is a commonly used, reliable regional anaesthetic technique for surgery of the upper limb. An adjuvant such as fentanyl/Nalbuphine is used to prolong the effec...
Pulmonary Functions in Patients with Subclinical Hypothyroidism
ABSTRACT Introduction: Hypothyroidism affects all organ systems of the human body including the respiratory system. Subclinical hypothyroidism is the earliest stage of hypothyroidism and has a high prevalence rate world...
Body Mass Index and Weight Loss Efforts in Middle-Aged Saudi Women: The Mediating Role of Body Appreciation
ABSTRACT Introduction: Body Appreciation (BA) is the most widely used measure of positive body image and assesses an overall positive orientation to the body. Little is known about BA among Saudi middle-aged women relate...