Publication details

Kožní nežádoucí účinky amiodaronu

Title in English Skin adverse effects of amiodarone
Authors

ZGAŽAROVÁ Simona JEDLIČKOVÁ Hana

Year of publication 2008
Type Conference abstract
MU Faculty or unit

Faculty of Medicine

Citation
Description Amiodarone has belonged to frequently used antiarrhythmic in the treatment of supraventricular and ventricular tachyarrhytmias since the sixthies. Amiodarone is a chemically iodinated benzofuran derivative with mono-N-desethylamiodarone as its major metabolite. Its use associated with numerous adverse reactions. The incidence of amiodarone induced side-effects ranges from 16-98 % of patients receiving amiodarone and it appears to be dose related. Skin side-effects are common, they usually occur as photosensitivity, more rarely as a slategrey discoloration of the skin. Leucocytoclastic vasculitis, allergic-type reaction, hair loss and exacerbation of psoriasis have also been infrequently reported. Amiodarone induced slate-gray pigmentation is commonly observed in unprotected light exposed skin. Its incidence ranges from 2-57 %. Hyperpigmentations is due to accumulation of amiodarone and its metabolite in the skin. We describe three cases of hyperpigmentation after using amiodarone in elder men.

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