Friday, 15 April 2016

Skin pigmentation Occurance | Crack PGIMER 22 MAY 2016


Skin pigmentation occurs with which of the following drugs 

A. Clofazimine
B. Minocycline 
C. Sulfonamides 
D. glucosamines 
E. Gold


The Answer is. (A) Clofazimine; (B) Minocycline ;(E) Gold ;
• Pigmentary changes (skin) caused by drugs with their appearance are given below
Note
Appearance
— Flat hyperpigmented areas
— Blue-black patches
— Blue-gray discoloration
Distribution
Forehead and cheeks
(chloasma, melasma) on shins Light exposed areas
Drugs
OCP
Minocycline, chloroquine
Chiorpromazine and related phenothiazines
— Brown and blue-gray pigmentation Reddish black — Slate-gray colour
— Yellow colour
Generalised
Sun exposed areas
Photo exposed areas
Heavy metals (Ag, Au. Bi, As)ClofazimineAmiodarone

* Chloroquine causes blue-black pigmentation of nails arid palate and depigmentation of hair.
* Zidovudine, hydroxyurea causes brown discolouration of nails.
* Sulphonamidecause fixed drug eruptions.
* Rifampicin cause redish discolouration of sweats.

* Vancomycin causeRedman Syndrome.