Generalized Fixed Drug Eruptions Require Urgent Care: A Case Series

Cutis. 2024 Jul;114(1):E31-E34. doi: 10.12788/cutis.1063.

Abstract

A generalized fixed drug eruption (FDE) is an uncommon but potentially dangerous reaction to medication. In this case series, we present 1 patient with a generalized FDE and 2 patients with generalized bullous FDE that resolved with cyclosporine, though 1 patient required close monitoring in the intensive care unit. Immediate acceleration of care upon development and recognition of generalized bullous FDE is essential, as the mortality rate is similar to Stevens-Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN).

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Ambulatory Care
  • Cyclosporine / administration & dosage
  • Cyclosporine / adverse effects
  • Drug Eruptions* / diagnosis
  • Drug Eruptions* / etiology
  • Female
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / adverse effects
  • Male
  • Middle Aged
  • Stevens-Johnson Syndrome / diagnosis
  • Stevens-Johnson Syndrome / etiology
  • Stevens-Johnson Syndrome / therapy

Substances

  • Cyclosporine
  • Immunosuppressive Agents