Keywords :
Adverse drug reactions, Antimicrobials, Cutaneous, Non-steroidal anti-inflammatory drug
Citation Information :
Chatterjee R, Sarkar K, Ampi P, Rongong SL, Mukherjee S, Podder I, Pramanik N. Cutaneous Adverse Drug Reactions in a Tertiary Care Hospital: A Record-based Observational Study. Bengal Physician Journal 2024; 11 (2):61-69.
Background: Cutaneous adverse drug reactions (CADR) are being frequently reported. However, there is a paucity of epidemiological data in the Indian setting. We aimed to determine the frequency of cutaneous ADR in our setup, identify the causative drug(s), and evaluate their treatment response.
Materials and methods: We included the retrospective data of 40 patients with cutaneous drug reactions. Available history including medication history was taken and causality was determined. Descriptive statistics were used for data analysis.
Results: The most common offending drugs were antimicrobials followed by non-steroidal anti-inflammatory drugs (NSAIDs)/DMARDs. Among antimicrobials, fluoroquinolones were the commonest culprit. The maculopapular rash was the commonest manifestation seen in 50% of cases followed by fixed drug eruption (FDE) in 15% of total cases. Three cases of Stevens–Johnson Syndrome (SJS) were noted in our study. Levofloxacin was the offending drug in one case and rest two cases were due to cephalosporins.
Conclusion: Awareness is needed about the common causative agents of CADR, and these drugs must not be prescribed irrationally. Detailed medication history and clinico-pharmacological evaluation are extremely important for approaching any patient with CADR.
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