Lichenoid drug eruption of nails induced by propylthiouracil

J Dermatol. 2007 Oct;34(10):696-8. doi: 10.1111/j.1346-8138.2007.00361.x.

Abstract

We present the case of a patient who developed deformities of the fingernails and reddish nodules on the nail beds after administration of propylthiouracil (PTU) for 6 months to treat Grave's disease. Histological examination of the lesion revealed a lichenoid tissue reaction. After withdrawal of PTU, she noticed an improvement in the eruption and the growth of the nails. No recurrence of the eruption was detected after the withdrawal of PTU. Thus, we strongly suggest that this was a rare case of PTU-induced lichenoid drug eruption of nail.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antithyroid Agents / adverse effects*
  • Antithyroid Agents / therapeutic use
  • Dermis / pathology
  • Drug Eruptions / etiology*
  • Drug Eruptions / pathology
  • Female
  • Graves Disease / drug therapy
  • Humans
  • Lichenoid Eruptions / chemically induced*
  • Lichenoid Eruptions / pathology
  • Nail Diseases / chemically induced*
  • Nail Diseases / pathology
  • Propylthiouracil / adverse effects*
  • Propylthiouracil / therapeutic use

Substances

  • Antithyroid Agents
  • Propylthiouracil