Skin reactions to cardiac drugs: a clinical case

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Abstract

Drug-induced photodermatitis is an important problem in a doctor's practice. This is due to the fact that a number of drugs widely used in medicine can cause the development of photodermatitis - antibiotics and sulfonamides, non-steroidal anti-inflammatory drugs, antineoplastic drugs, diuretics, antihypertensive and antiarrhythmic drugs, antidiabetic and psychiatric drugs, tretinoin and isotretinoin, as well as some others. Drug-induced photodermatitis proceeds as phototoxic reactions. In this situation, medicinal substances in the skin can act as a photosensitizer. The pathological mechanism of development of phototoxic reactions involves both an accumulation in the skin of a substance that possess effect of a photosensitizer and the simultaneous effect of solar radiation on the skin. The photosensitizer causes rashes by increasing skin sensitivity to visible or ultraviolet part of the spectrum. This article describes the case of a 64-year-old patient who developed photodermatitis while taking amiodarone for a long time.

About the authors

Zofiia A. Nevozinskaia

Pirogov Russian National Research Medical University; Moscow Scientific and Practical Center for Dermatovenereology and Cosmetology

канд. мед. наук, врач-дерматовенеролог Moscow, Russia

Anastas L. Piruzian

Center for Theoretical Problems of Physicochemical Pharmacology

д-р мед. наук, проф., гл. науч. сотр Moscow, Russia

Irina M. Korsunskaia

Center for Theoretical Problems of Physicochemical Pharmacology

Email: marykor@bk.ru
д-р мед. наук, проф., зав. лаб. Moscow, Russia

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