Prostaglandin E-induced polycyclic cutaneous eruption with geometric features

Pediatr Dermatol. 2024 Sep-Oct;41(5):934-935. doi: 10.1111/pde.15617. Epub 2024 Apr 17.

Abstract

Prostaglandin E1 (PGE1) is a substance produced by the patent ductus arteriosus that keeps it open. PGE1 can be a lifesaving drug for infants born with ductus-dependent congenital heart disease (CHD) where there is a block of blood flow to the lungs or transposition of great arteries. We present a case of a 36-week, 2-day gestation neonate with CHD who developed bright erythematous annular and polycyclic patches on day 2 of PGE1 administration. When PGE1 dosing was decreased, the rash resolved on its own. Our case demonstrates that PGE1 treatment may not need to be interrupted.

Keywords: cutaneous drug eruption; neonate; polycyclic.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Alprostadil* / adverse effects
  • Alprostadil* / therapeutic use
  • Drug Eruptions / diagnosis
  • Drug Eruptions / etiology
  • Female
  • Heart Defects, Congenital
  • Humans
  • Infant, Newborn
  • Male

Substances

  • Alprostadil