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Case Reports
. 2018 Nov-Dec;9(6):445-447.
doi: 10.4103/idoj.IDOJ_24_18.

Lamotrigine-induced Systemic Lupus Erythematosus: A Diagnostic Dilemma

Affiliations
Case Reports

Lamotrigine-induced Systemic Lupus Erythematosus: A Diagnostic Dilemma

Jaskaran Batra et al. Indian Dermatol Online J. 2018 Nov-Dec.

Abstract

Many drugs are known to cause systemic lupus erythematosus (SLE), however there are no well defined criteria for drug induced lupus erythematosus (DILE). We present a rare case of lamotrigine induced lupus presenting as acute syndrome of apoptotic pan epidermolysis (ASAP).

Keywords: Acute syndrome of apoptotic pan epidermolysis; Systemic Lupus erythematosus; lamotrigine.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Erythematous maculopapular rash involving the entire face and neck with erosions, crusting, and vesiculation
Figure 2
Figure 2
Diffuse maculopapular erythema on right arm
Figure 3
Figure 3
Periungual erosions and splinter hemorrhage
Figure 4
Figure 4
Basal layer vacuolar degeneration with presence of necrotic keratinocytes and mild superficial perivascular lympho-histiocytic infiltrate [hematoxylin and eosin (H and E 400×)]
Figure 5
Figure 5
Resolution of lesions within 1 week

References

    1. Petri M, Orbai AM, Alarcon GS, Gordon C, Merrill JT, Fortin PR, et al. Derivation and validation of the Systemic Lupus International Collaborating Clinics classification criteria for systemic lupus erythematosus. Arthritis Rheum. 2012;64:2677–86. - PMC - PubMed
    1. Hess E. Drug-related lupus. N Engl J Med. 1988;318:1460–2. - PubMed
    1. Pramatarov KD. Drug-induced lupus erythematosus. Clin Dermatol. 1998;16:367–77. - PubMed
    1. Antonov D, Kazandjieva J, Etugov D, Gospodinov D, Tsankov N. Drug-induced lupus erythematosus. Clin Dermatol. 2004;22:157–66. - PubMed
    1. Sarzi-Puttini P, Panni B, Cazzola M, Muzzupappa S, Turiel M. Lamotrigine-induced lupus. Lupus. 2000;9:555–7. - PubMed

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