Granulomatous Drug Eruptions

Dermatol Clin. 2015 Jul;33(3):525-39. doi: 10.1016/j.det.2015.03.015.

Abstract

Granuloma formation is usually regarded as a means of defending the host from persistent irritants of either exogenous or endogenous origin. Noninfectious granulomatous disorders of the skin encompass a challenging group of diseases owing to their clinical and histologic overlap. Drug reactions characterized by a granulomatous reaction pattern are rare, and defined by a predominance of histiocytes in the inflammatory infiltrate. This review summarizes current knowledge on the various types of granulomatous drug eruptions, focusing on the 4 major types: interstitial granulomatous drug reaction, drug-induced accelerated rheumatoid nodulosis, drug-induced granuloma annulare, and drug-induced sarcoidosis.

Keywords: Drug; Granuloma; Granulomatous drug eruptions; Noninfectious granuloma; Skin.

Publication types

  • Review

MeSH terms

  • Antirheumatic Agents / adverse effects
  • Antiviral Agents / adverse effects
  • Calcium Channel Blockers / adverse effects
  • Drug Eruptions / diagnosis*
  • Granuloma / chemically induced
  • Granuloma / diagnosis*
  • Granuloma Annulare / chemically induced
  • Granuloma Annulare / diagnosis*
  • Humans
  • Interferon-alpha / adverse effects
  • Rheumatoid Nodule / chemically induced
  • Rheumatoid Nodule / diagnosis*
  • Sarcoidosis / chemically induced
  • Sarcoidosis / diagnosis*

Substances

  • Antirheumatic Agents
  • Antiviral Agents
  • Calcium Channel Blockers
  • Interferon-alpha