Amphotericin B-induced cutaneous leucocytoclastic vasculitis: case report

Mycoses. 2008 Jan;51(1):81-2. doi: 10.1111/j.1439-0507.2007.01419.x.

Abstract

A 37-year-old female patient was diagnosed with ulcerative colitis 8 months ago and medical treatment with oral azathioprine, low-dose corticosteroids and 5-ASA was started. Following 3 months without any symptoms, the patient had total colectomy and ileostomy. After this period, liposomal amphotericin B (3 mg kg(-1) day(-1)) was given with the diagnosis of probable fungal infection. Palpable purpuric skin lesions on the anterior surface of both legs appeared on the 55th day of amphotericin B treatment. Histological examination of a skin biopsy was consistent with leucocytoclastic vasculitis. We present a case of cutaneous leucocytoclastic vasculitis in which amphotericin B might presumably be the aetiological factor.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Adult
  • Amphotericin B / adverse effects*
  • Amphotericin B / therapeutic use
  • Biopsy
  • Female
  • Humans
  • Mycoses / drug therapy
  • Skin Diseases / pathology*
  • Vasculitis / pathology*

Substances

  • Amphotericin B