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Image Number 2067 (Fixed drug reaction)


Diagnosis: Fixed drug reaction

Site: Arm,upper

Sex: F

Age: 50


Description: Vesicular rash on erythematous base.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis


 A middle-aged woman had previous history of vesicular rash on erythematous background caused by Bactrim one year ago. Now she presents with similar rash involved same sites (upper limbs) but more severe. The rash composed of blisters on erythematous base involved the arms, forearms and palms. On the palms there was classical dark purplish patches characteristic of FDE due to cotrimoxazole. 

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