Identifying a Case of an Atenolol-induced Papulosquamous Eruption

Daniel Fischer, Joseph Gofman, Graham Litchman, Sourab Choudhury
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Abstract

While beta-adrenergic blocking agents (beta blockers) are generally safe, their incidence of medication-induced cutaneous eruptions remain under-recognized in the primary care setting. The adverse dermatologic effects of these medications may arise in the days to years following drug initiation, contributing to its delayed diagnosis and management. Here we report a case of a papulosquamous drug eruption in an older adult due to atenolol. We also discuss pertinent morphologic findings, diagnostic methods, management, and how to distinguish this type of eruption from other papulosquamous disorders.
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鉴别阿替洛尔诱发的乳头瘤病例
虽然β-肾上腺素能阻滞剂(β-受体阻滞剂)通常是安全的,但在初级医疗环境中,其药物诱发皮肤糜烂的发生率仍未得到充分认识。这些药物对皮肤的不良影响可能会在用药后数天至数年内出现,从而导致诊断和治疗的延误。在此,我们报告了一例老年人因服用阿替洛尔而引起的丘疹鳞屑性药物疹。我们还讨论了相关的形态学发现、诊断方法、处理方法,以及如何将这种类型的糜烂与其他丘疹鳞屑性疾病区分开来。
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