PMID- 12574905 OWN - NLM STAT- MEDLINE DCOM- 20050630 LR - 20191106 IS - 1203-4754 (Print) IS - 1203-4754 (Linking) VI - 7 IP - 3 DP - 2003 May-Jun TI - Subacute cutaneous lupus erythematosus induced by nifedipine. PG - 243-6 AB - BACKGROUND: Subacute cutaneous lupus erythematosus (SCLE) has been reported to be associated with the use of several drugs, including thiazides, terbinafine, and, rarely, calcium channel blockers. OBJECTIVE: A case of SCLE induced by nifedipine is presented. METHODS AND RESULTS: A 48-year-old white woman developed a papulosquamous and annular eruption in sun-exposed areas during the summer. The patient was taking nifedipine for essential hypertension for four years. Serology showed the presence of antinuclear and anti-Ro/SSA as well as antihistone antibodies. Histopathologic and immunopathologic (granular IgM deposits at the dermoepidermal junction) findings confirmed the diagnosis of SCLE. Nifedipine discontinuation led to rapid improvement with almost complete resolution of skin lesions in one month in the absence of active treatment. Reduction of antinuclear, anti-Ro/SSA, and antihistone antibody levels was documented after six months. CONCLUSION: Nifedipine can cause SCLE after a long period of administration. Antihistone antibodies may be associated with drug-induced SCLE. FAU - Gubinelli, Emanuela AU - Gubinelli E AD - Istituto Dermopatico dell'Immacolata, IRCCS, Rome, Italy. FAU - Cocuroccia, Barbara AU - Cocuroccia B FAU - Girolomoni, Giampiero AU - Girolomoni G LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Cutan Med Surg JT - Journal of cutaneous medicine and surgery JID - 9614685 RN - 0 (Calcium Channel Blockers) RN - I9ZF7L6G2L (Nifedipine) SB - IM MH - Calcium Channel Blockers/*adverse effects MH - Female MH - Humans MH - Lupus Erythematosus, Cutaneous/*chemically induced MH - Middle Aged MH - Nifedipine/*adverse effects EDAT- 2003/02/08 04:00 MHDA- 2005/07/01 09:00 CRDT- 2003/02/08 04:00 PHST- 2003/02/08 04:00 [pubmed] PHST- 2005/07/01 09:00 [medline] PHST- 2003/02/08 04:00 [entrez] AID - 10.1007/s10227-002-0122-5 [doi] PST - ppublish SO - J Cutan Med Surg. 2003 May-Jun;7(3):243-6. doi: 10.1007/s10227-002-0122-5.