Symmetric intertriginous flexural rash related to topical polyvalent

Authors

  • Monica Briceño Universidad Nacional Mayor de San Marcos, Facultad de Medicina. Lima, Peru https://orcid.org/0000-0001-5534-3412
  • Susan Saavedra Universidad Nacional Federico Villarreal, Facultad de Medicina. Lima, Peru https://orcid.org/0000-0001-9656-5943
  • Gabriela Pajuelo Hospital de Emergencias Grau EsSalud, Servicio de Dermatología. Lima, Peru
  • Betty Sandoval Hospital de Emergencias Grau EsSalud, Servicio de Dermatología. Lima, Peru https://orcid.org/0000-0003-1258-6427

DOI:

https://doi.org/10.15381/anales.v83i2.21008

Keywords:

Exanthema, Erythema, Drug Eruptions

Abstract

The case of a 12-year-old patient is presented, who 5 hours after the application of a topical polyvalent presents an increase in volume at the level of the penis and scrotum, presenting with erythema in flexural areas of the groin, armpit, back of the feet and marked erythema symmetrical in buttocks with pasty skin, referring to intense itching on a 9/10 scale in the lesions. In laboratory tests hemogram without leukocytosis and eosinophils 18%. Normal testicular echo-Doppler. Topical corticosteroid and prednisone were indicated, with remission of pruritus and erythema, being discharged 6 days later. With little desquamation in the buttocks, due to meeting the criteria for drug exposure, V-shaped erythema, flexural compromise, absence of systemic repercussion and symmetric involvement is reported as a drug-related symmetric intertriginous flexural rash (SDRIFE).

Author Biographies

  • Monica Briceño, Universidad Nacional Mayor de San Marcos, Facultad de Medicina. Lima, Peru

    Médico residente de la especialdiad de dermatología.

  • Susan Saavedra, Universidad Nacional Federico Villarreal, Facultad de Medicina. Lima, Peru

    Médico residente de la especialdiad de dermatología.

  • Gabriela Pajuelo, Hospital de Emergencias Grau EsSalud, Servicio de Dermatología. Lima, Peru

    Médica dermatóloga.

  • Betty Sandoval, Hospital de Emergencias Grau EsSalud, Servicio de Dermatología. Lima, Peru

    Médica dermatóloga.

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Published

2022-05-05

Issue

Section

Reporte de Casos

How to Cite

1.
Briceño M, Saavedra S, Pajuelo G, Sandoval B. Symmetric intertriginous flexural rash related to topical polyvalent. An Fac med [Internet]. 2022 May 5 [cited 2024 Jul. 17];83(2):130-3. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/21008