Oral and systemic effects of prolonged minocycline therapy.
The following case report shows the unfortunate side effects of minocycline therapy used in the management of facial acne. All three features of discoloration affecting the skin, bone and dentition were found. A 46-year-old patient presented with adult onset discoloration of the dentition following prolonged minocycline therapy. In addition, oral and cutaneous pigmentation were noted. Unfortunately, the undesirable cosmetic appearance of facial acne was exchanged for permanent discoloration of the dentition. When considering prolonged minocycline therapy, patients would benefit from dialogue between the medical and dental practitioners, so that the risk of this potential side effect can be assessed in a more informed way.
Patel
K
K
Eastman Dental Hospital, London.
Cheshire
D
D
Vance
A
A
D000152:Acne Vulgaris / Q000150:complications / Q000188:drug therapy; D000900:Anti-Bacterial Agents / Q000009:adverse effects*; D005148:Facial Dermatoses / Q000150:complications / Q000188:drug therapy; D006801:Humans; D008297:Male; D008439:Maxillary Diseases / Q000139:chemically induced* / Q000175:diagnosis; D008875:Middle Aged; D008911:Minocycline / Q000009:adverse effects*; D009631:Nonodontogenic Cysts / Q000139:chemically induced* / Q000175:diagnosis; D010859:Pigmentation Disorders / Q000139:chemically induced* / Q000175:diagnosis; D013997:Time Factors; D014075:Tooth Discoloration / Q000139:chemically induced* / Q000175:diagnosis
D000900:Anti-Bacterial Agents; D008911:Minocycline