Guttate psoriasis following Ecstasy ingestion.
A 23-year-old man presented with the onset of a widespread pruritic eruption 4 days after ingestion of an Ecstasy tablet for the first time. The rash was characterized by small papules up to 10 mm in diameter distributed in a guttate pattern over most of his body and displaying the Köbner phenomena. Histology diagnosed a psoriasiform drug eruption. The eruption was not responsive to the initial treatment of topical betamethasone dipropionate 0.1% ointment and oral prednisolone. Prompt resolution was achieved with narrowband UVB treatment and avoidance of rechallenge.
Tan
Boon
B
Skin and Cancer Foundation Victoria, Carlton South, Victoria, Australia. tboont@vodafone.net.au
Foley
Peter
P
D000328:Adult; D003875:Drug Eruptions / Q000209:etiology; D006801:Humans; D008297:Male; D018817:N-Methyl-3,4-methylenedioxyamphetamine / Q000009:adverse effects*; D011565:Psoriasis / Q000139:chemically induced* / Q000532:radiotherapy; D013607:Tablets; D013997:Time Factors; D014467:Ultraviolet Therapy / Q000379:methods
D013607:Tablets; D018817:N-Methyl-3,4-methylenedioxyamphetamine