title: Bullous Fixed Drug Eruption Probably Induced by Paracetamol.
abstract: We report a case of a 42-year-old male who presented with second episode of bullous eruptions after ingestion of paracetamol. There were no systemic complaints. The temporal correlation with the drug, history of a similar episode and the quick improvement led us to a diagnosis of bullous fixed drug due to paracetamol. Applying Naranjo's algorithm, a causality score of 8 was obtained and was categorized as probable reaction to paracetamol. Clinicians should be vigilant of the possible adverse reactions to drugs with robust safety profiles. Drug alert cards could play an important role in preventing recurrences.
authors.affiliation: Department of Dermatology, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Manoj Kumar
authors.initials: MK
authors.lastname: Agarwala
authors.affiliation: Department of Pathology, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Sramana
authors.initials: S
authors.lastname: Mukhopadhyay
authors.affiliation: Department of Dermatology, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: M Raja
authors.initials: MR
authors.lastname: Sekhar
authors.affiliation: Department of Dermatology, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Cv Dincy
authors.initials: CD
authors.lastname: Peter
keywords: Bullous fixed drug eruption; India; drug reaction; paracetamol