Article: O'Brien's actinic granuloma in association with prolonged doxycycline phototoxicity.
The Australasian journal of dermatology
2003 Volume 44, Issue 1, Page(s) 67–70
Abstract: O'Brien's actinic granuloma is clinically characterized by annular papules and plaques on sun-exposed areas of skin. These lesions often occur insidiously on a background of severe solar elastosis; however, an acute variant following sunburn has been ... ...
Abstract | O'Brien's actinic granuloma is clinically characterized by annular papules and plaques on sun-exposed areas of skin. These lesions often occur insidiously on a background of severe solar elastosis; however, an acute variant following sunburn has been reported in the literature. We present two cases of acute actinic granuloma precipitated by episodes of sunburn occurring on a background of prolonged doxycycline phototoxicity. Biopsies from both patients showed a histiocytic infiltrate with multinucleate giant cells engulfing elastotic material, with a reduction of elastin towards the centre of the papule. Marked resolution of the lesions was noted after 8 weeks of treatment with betamethasone dipropionate 0.05% ointment in optimized vehicle together with adequate photoprotection in the form of broad-spectrum sunscreens. |
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MeSH term(s) | Administration, Cutaneous ; Adult ; Antimalarials/adverse effects ; Betamethasone/administration & dosage ; Betamethasone/analogs & derivatives ; Diagnosis, Differential ; Doxycycline/adverse effects ; Granuloma/diagnosis ; Granuloma/drug therapy ; Granuloma/etiology ; Granuloma/pathology ; Humans ; Malaria/drug therapy ; Male ; Neck ; Skin Diseases/diagnosis ; Skin Diseases/drug therapy ; Skin Diseases/etiology ; Skin Diseases/pathology ; Sunlight/adverse effects |
Chemical Substances | Antimalarials ; betamethasone-17,21-dipropionate (826Y60901U) ; Betamethasone (9842X06Q6M) ; Doxycycline (N12000U13O) |
Language | English |
Publishing date | 2003-01-22 |
Publishing country | Australia |
Document type | Case Reports ; Journal Article |
ZDB-ID | 138052-7 |
ISSN | 1440-0960 ; 0004-8380 |
ISSN (online) | 1440-0960 |
ISSN | 0004-8380 |
DOI | 10.1046/j.1440-0960.2003.00641.x |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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