Pustular psoriasis precipitated by acetazolamide.
We report a case of pustular psoriasis precipitated by acetazolamide, a carbonic anhydrase inhibitor. A 28-year-old man suffering from 20 years-standing generalized pustular psoriasis developed psoriatic arthritis and glaucoma and experienced a precipitation of pustular lesions and widespread erythema after initiation of oral acetazolamide for glaucoma. The cutaneous lesions and systemic symptoms improved after restriction of acetazolamide and administration of oral etretinate. Readministration of acetazolamide confirmed that generalized pustules arose within 24 hours.
Kuroda
K
K
Department of Dermatology, School of Medicine, Chiba University, Japan.
Kojima
T
T
Tanabe
E
E
Fujita
M
M
Shinkai
H
H
D000086:Acetazolamide / Q000009:adverse effects*; D000328:Adult; D015535:Arthritis, Psoriatic / Q000150:complications; D002257:Carbonic Anhydrase Inhibitors / Q000009:adverse effects*; D005901:Glaucoma / Q000150:complications / Q000188:drug therapy; D006801:Humans; D008297:Male; D011565:Psoriasis / Q000139:chemically induced*; D014605:Uveitis / Q000150:complications
D002257:Carbonic Anhydrase Inhibitors; D000086:Acetazolamide