2014
DOI: 10.1177/0036933014558000
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Sub-acute cutaneous lupus erythematosus following nitrofurantoin: causative or coincidental?

Abstract: A 70-year-old woman presented with progressive skin lesions on the face, limbs and trunk in the absence of systemic illness. Three months earlier, she had been prescribed six months prophylactic nitrofurantoin for recurrent urinary tract infections, treated with nitrofurantoin and trimethoprim. Positive immunology and histological inflammatory changes in a skin biopsy were consistent with a diagnosis of sub-acute cutaneous lupus erythematosus. Following treatment with topical steroids, the skin lesions regress… Show more

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Cited by 6 publications
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“…Nitrofurantoin is an antibiotic commonly used to treat urinary tract infections and was identified as the major compound in many worldwide drug residue violations ( 32 ). Nitrofurantoin has been reported to induce immune-mediated lung and liver disease ( 33 ), sub-acute cutaneous lupus erythematosus ( 34 ), and antineutrophilcytoplasmic antibodies (ANCA)-associated vasculitis ( 35 ) in some rare cases. Nitrofurantoin can induce both humoral and cellular immune responses, increasing the T helper/T-suppressor lymphocytes ratio, and stimulating the production of autoantibodies ( 36 , 37 ).…”
Section: Discussionmentioning
confidence: 99%
“…Nitrofurantoin is an antibiotic commonly used to treat urinary tract infections and was identified as the major compound in many worldwide drug residue violations ( 32 ). Nitrofurantoin has been reported to induce immune-mediated lung and liver disease ( 33 ), sub-acute cutaneous lupus erythematosus ( 34 ), and antineutrophilcytoplasmic antibodies (ANCA)-associated vasculitis ( 35 ) in some rare cases. Nitrofurantoin can induce both humoral and cellular immune responses, increasing the T helper/T-suppressor lymphocytes ratio, and stimulating the production of autoantibodies ( 36 , 37 ).…”
Section: Discussionmentioning
confidence: 99%