Introduction: We report a severe lichenoid drug eruption due to gold salts which relapsed 8 months after the cessation of chrysotherapy.
Case report: A 56 year old man, 3 months after the beginning of a gold sodium propanol sulfonate therapy, developed a polymorphous eruption with violin papules on the trunk, eczematous lesions on the limbs and erosive stomatitis. Gold salts were definitively withdrawn. We saw the patient four months after gold therapy cessation: the eruption remained and diagnosis of severe drug cutaneo-mucous lichenoid eruption was done. We saw thereafter the patient again, 8 months after gold therapy cessation: the eruption had relapsed, more intense.
Discussion: We suggest that lichenoid eruption, first caused by gold salts, has become autonomous.