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Sparfloxacin-induced nail pigmentation: A case of fixed drug eruption?
1Dermatology Unit, Department of Medicine, Barau Dikko Teaching Hospital, Kaduna, Nigeria.
Abstract:
Sparfloxacin, a synthetic, second generation, broad spectrum aminodifluoroquinolone antibiotic, has excellent penetration into respiratory tissues and has good activity against Gram-positive, Gram-negative, and atypical bacteria. Although it is indicated for the treatment of adult community-acquired pneumonia and acute exacerbation of chronic bronchitis, its use has been limited by phototoxicity which is more common with it than with other quinolones. We report a case of a 20-year-old Nigerian woman who developed a diffuse blue-black nail pigmentation of thumb and big toe nails, 2 weeks after completing therapy with sparfloxacin, and a recurrence of the pigmentation in the same nails 1 year after taking the drug again. We think this is likely a case of subungual fixed drug eruption. We briefly discuss the causes and mechanisms of drug-induced nail pigmentation in general.
Insights
Sparfloxacin, an antibiotic for respiratory infections, can cause blue-black nail pigmentation. This case report suggests it may be a fixed drug eruption, highlighting a rare side effect of this aminodifluoroquinolone.
Area of Science:
- Pharmacology
- Dermatology
- Infectious Diseases
Background:
- Sparfloxacin is a broad-spectrum aminodifluoroquinolone antibiotic with efficacy against respiratory pathogens.
- Its clinical use is constrained by a higher incidence of phototoxicity compared to other quinolones.
- Drug-induced nail pigmentation is a recognized, though less common, adverse effect of certain medications.
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