A study on cutaneous adverse drug reactions in a tertiary care center in Rajnandgaon, Chattisgarh

Authors

  • Pooja Pandey Department of Dermatology, Late Atal Bihari Vajpayee Memorial Medical College Rajnandgaon, Chattisgarh, India
  • Prabhat Pandey Department of Medicine, Chandulal memorial medical college, Durg, Chattisgarh, India
  • Sharad Manore Department of Dermatology, Late Atal Bihari Vajpayee Memorial Medical College Rajnandgaon, Chattisgarh, India
  • Darshan Sandesara Department of Research and Publication, Apex Heart Institute, Ahmadabad, Gujrat, India

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20194678

Keywords:

Causative drugs, Cutaneous adverse drug reactions, Maculopapular rash, Antimicrobials

Abstract

Background: Cutaneous reactions are one of the most common types of adverse drug reactions which may vary from mildly discomforting to those that are life-threatening.

Methods: This prospective, observational study was done in the department of dermatology. Patients with suspected drug rash, of either sex or all age groups were included in the study.

Results: A total of 114 patients were enrolled in the study. The most common presenting symptoms of cutaneous adverse drug reactions (CADRs) were itching, burning sensation and pigmentation with 61.31%, 13.87% and 10.22% respectively. A total of 21 different CADRs were observed. The common causative agents were of anti-microbial, nervous system and musculoskeletal class in both outdoor and indoor patients with 51 (37.22%), 21 (15.32%) and 25 (18.24%) respectively.

Conclusions: The most common CADR observed in the study was antimicrobials and NSAIDs were the most common causative drugs.

 

References

Roujeau J, Allanore L, Liss Y. Severe cutaneous adverse reactions to drugs (SCAR): Definitions, diagnostic criteria, genetic predisposition. Dermatol. 2009;27:203-9.

Naldi L, Conforti A, Venegoni M, Troncon MG, Caputi A, Ghiotto E, et al. Cutaneous reactions to drugs. An analysis of spontaneous reports in four Italian regions. Br J Clin Pharmacol. 1999;48:839-46.

Svensson CK, Cowen EW, Gaspari AA. Cutaneous drug reactions. Pharmacol Rev. 2001;53:357-79.

Pudukadan D, Thappa DM. Adverse cutaneous drug reactions: Clinical pattern and causative agents in a tertiary care center in South India. Indian J Dermatol Venereol Leprol. 2004;70:20-4.

Patel TK, Thakkar SH, Sharma D. Cutaneous adverse drug reactions in Indian population: a systematic review. Indian Dermatol Online J. 2014;5:S76-86.

East-Innis AD, Thompson DS. Cutaneous drug reactions in patients admitted to the dermatology unit at the university hospital of the West Indies, Kingston, Jamaica. West Indian Med J. 2009;58:227-30.

Arulmani R, Rajendran SD, Suresh B. Adverse drug reaction monitoring in a secondary care hospital in South India. Br J Clin Pharmacol. 2008;65:210-6.

Ding WY, Lee CK, Choon SE. Cutaneous adverse drug reactions seen in a tertiary hospital in Johor, Malaysia. Int J Dermatol. 2010;49:834-41.

Sharma VK, Sethuraman G, Kumar B. Cutaneous adverse drug reactions: Clinical pattern and causative agents- a 6 year series from Chandigarh, India. J Postgrad Med. 2001;47:95-9.

Li LF, Ma C. Epidemiological study of severe cutaneous adverse drug reactions in a city district of China. Clin Exp Dermatol. 2006;31:642-7.

Pharmacovigilance. In: Mann RD, Andrews EB, eds. Introduction. 2nd ed. England: John Wiley and Sons, Ltd.; 2007: 3-11.

Agrawal A, Ghate S, Gupta AK, Dhurat R. Clinical spectrum of cutaneous adverse drug reactions. Indian J Drugs Dermatol. 2018;4:61-6.

Sharma R, Dogra D, Dogra N. A study of cutaneous adverse drug reactions at a tertiary center in Jammu, India. Indian Dermatol Online J. 2015;6:168-71.

Jha N, Alexander E, Kanish B, Badyal DK. A study of cutaneous adverse drug reactions in a tertiary care center in Punjab. Indian Dermatol Online J. 2018;9:299-303.

Jhaj R, Uppal R, Malhotra S, Bhargava VK. Cutaneous adverse reactions in in-patients in a tertiary care hospital. Indian J Dermatol Venereol Leprol. 1999;65:14-7.

Thakkar S, Patel TK, Vahora R, Bhabhor P, Patel R. Cutaneous adverse drug reactions in a tertiary care teaching hospital in India: An intensive monitoring study. Indian J Dermatol. 2017;62:618-25.

Raksha MP, Marfatia YS. Clinical study of cutaneous drug eruptions in 200 patients. Indian J Dermatol Venereol Leprol. 2008;74:80.

Anjaneyan G, Gupta R, Vora R. Clinical study of adverse cutaneous drug reactions at a rural based tertiary care centre in Gujarat. Natl J Physiol Pharm Pharmacol. 2013;3:129-36.

Radhika M, Mayur S, Kop P. Pattern of cutaneous adverse drug reactions due to the use of fixed dose drug combinations. Int J Basic Clin Pharmacol. 2013;2:554-8.

Nandha R, Gupta A, Hashmi A. Cutaneous adverse drug reactions in a tertiary care teaching hospital: a North Indian perspective. Int J Appl Basic Med Res. 2011;1:50-3.

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Published

2019-10-21

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Original Research Articles