PMID- 16900733 OWN - NLM STAT- MEDLINE DCOM- 20060911 LR - 20181201 IS - 0017-7768 (Print) IS - 0017-7768 (Linking) VI - 145 IP - 7 DP - 2006 Jul TI - [Subacute cutaneous lupus erythematosus induced by terbinafine]. PG - 480-2, 552 AB - BACKGROUND: The onset of subacute cutaneous lupus erythematosus (SCLE) may be associated with the administration of a variety of drugs. Terbinafine, an oral antifungal agent, which rarely causes cutaneous eruptions, has been implicated as the cause or exacerbation of cutaneous lupus erythematosus in several patients. CASE: A 59-year-old man had received oral terbinafine for onychomycosis. The patient had a history of SCLE, which was in complete remission during the last 5 years. A month after initiating treatment with terbinafine the patient developed SCLE, which was diagnosed clinically and by histology. He had typical papulosquamous lesions. Immunological studies showed elevated titers of anti-nuclear antibodies. Following discontinuation of terbinafine therapy and under the treatment of systemic and topical steroids, a slow resolution of the eruption was noted over several weeks. CONCLUSIONS: This report, along with previous cases described, suggests the association between terbinafine therapy and the onset or exacerbation of SCLE often occurring in a patient with history of systemic lupus erythematosus or SCLE. FAU - Amitay-Layish, Iris AU - Amitay-Layish I AD - Department of Dermatology, Rabin Medical Center, Petah Tikva, Israel. amitay2@zahav.net.il FAU - Feuerman, Hana AU - Feuerman H FAU - David, Michael AU - David M LA - heb PT - Case Reports PT - Journal Article PL - Israel TA - Harefuah JT - Harefuah JID - 0034351 RN - 0 (Antibodies, Antinuclear) RN - 0 (Naphthalenes) RN - 0 (Trypanocidal Agents) RN - G7RIW8S0XP (Terbinafine) SB - IM MH - Antibodies, Antinuclear/blood MH - Humans MH - Lupus Erythematosus, Cutaneous/*chemically induced/immunology/pathology MH - Male MH - Middle Aged MH - Naphthalenes/*adverse effects MH - Onychomycosis/*drug therapy MH - Recurrence MH - Terbinafine MH - Trypanocidal Agents/*adverse effects EDAT- 2006/08/12 09:00 MHDA- 2006/09/12 09:00 CRDT- 2006/08/12 09:00 PHST- 2006/08/12 09:00 [pubmed] PHST- 2006/09/12 09:00 [medline] PHST- 2006/08/12 09:00 [entrez] PST - ppublish SO - Harefuah. 2006 Jul;145(7):480-2, 552.