Department of Internal Medicine, Stamford Hospital, Stamford, USA
Case Report
Unique Piercing Site Drug Reaction
Author(s): Margaret Kaszycki* and Andreas Bub
Hyperhidrosis piercings of the body and ears is a popular practice amongst the US adolescent population. Localized infections and reactions are common, including allergic contact dermatitis, bleeding, scarring, and keloid formation. Piercing the skin serve as a site of trauma, thus predisposing patients to these complications. Enhancement of systemic reactions to localized regions is an uncommon phenomenon but has been reported in several cases such as chemotherapy-induced radiation dermatitis. We present a case of lamotrigine induced erythema multiform major in a 17 years old female, whose diagnosis was delayed due to initial presentation mimicking disseminated herpes simplex virus, Bechet’s, and an autoimmune condition due to unknown steroid use. In addition, the patient had enhancement of erythema and pain around multiple facial piercings. Although the cause of enhancement at.. View More»