Cutaneous Adverse Drug Reaction (CADR): An overview

Abstract

Aims and Objectives: Aim of this prospective, hospital based study is to determine the pattern of cutaneous adverse drug reactions (ADR). Material and methods: The study was conducted in the department of Pharmacology and department of Medicine, at SS Medical College and associated SGM Hospital, Rewa, MP from Oct 2014 to Sept 2015; total 130 cases were enrolled with suspected ADRs. Results: In this study maximum (25%) patients belonged to 18-25 years of age group. Mean (± SD) age of these patients was 34.84 ± 20.99 years. The skin and mucous membrane are most commonly (52.29%) affected organ system with suspected ADRs followed by central nervous system (9.19%) and gastrointestinal system (8.62%). Among the cutaneous ADRs; 51.64% were skin rashes followed by 29.67% pruritus, 5.49% oral ulcers, 3.29% Stevens-Johnson syndrome (SJS), 2.19% bullous eruption, 2.19% lips swelling, 2.19% toxic epidermal necrolysis (TEN), 1.09% oral candidiasis, 1.09% red man syndrome and 1.09% hair changes. Of these ADRs; 82.41%were associated with use of antimicrobials followed by 14.28% NSAIDs. Amongst AMAs 20.97% ADRs were associated with fluoroquinolones, 18.68% with cephalosporin, 10.98% with penicillin and 5.49% with sulphonamide. Conclusions: In this study, skin and mucous membrane is most commonly (52.29%) affected organ system; skin rashes and pruritus are the most common cutaneous ADRs and majority of cases were associated with use of fluoroquinolones and cephalosporins AMAs