Fixed Drug Eruption

Characteristics and Causes

  • Drug eruption that occurs at the same location every time a particular medication is used.
  • Begins as an erythematous, edematous plaque with a grayish center or frank bullae, then progresses to dark, post-inflammatory pigmentation.
  • Sites include the mouth, genetalia, face, and acral areas.
  • Causes include phenolphthalein, tetracyclines, barbituates, sulfonamides, NSAIDs, and salicylates.

Fixed drug eruption

An acute fixed drug eruption in this patient who took Donnatal® is characterized an edematous plaque with a bullous center. Courtesy of Andrew Samel, MD.