Treatment of Generalized Granuloma Annulare with Rifampin, Ofloxacin, and Minocycline Combination Therapy

  • TSURUTA Noriko
    Division of Dermatology, Department of Internal Medicine, Saga University Faculty of Medicine
  • INOUE Takuya
    Division of Dermatology, Department of Internal Medicine, Saga University Faculty of Medicine
  • MISAGO Noriyuki
    Division of Dermatology, Department of Internal Medicine, Saga University Faculty of Medicine
  • NARISAWA Yutaka
    Division of Dermatology, Department of Internal Medicine, Saga University Faculty of Medicine
  • ONTSUKA Kanako
    Division of Dermatology, Sasebo-Kyosai Hospital
  • TARA Akiko
    Division of Dermatology, Sasebo-Kyosai Hospital
  • OTSU Masakazu
    Division of Dermatology, Sasebo-Kyosai Hospital

Bibliographic Information

Other Title
  • リファンピシン,オフロキサシン,塩酸ミノサイクリンによる多剤併用療法が奏効した汎発性環状肉芽腫の1例
  • 症例 リファンピシン,オフロキサシン,塩酸ミノサイクリンによる多剤併用療法が奏効した汎発性環状肉芽腫の1例
  • ショウレイ リファンピシン,オフロキサシン,エンサン ミノサイクリン ニ ヨル タザイ ヘイヨウ リョウホウ ガ ソウコウ シタ ハンハツセイ カンジョウ ニクガ シュ ノ 1レイ

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Abstract

A 68-year-old female presented with multiple annular erythematous plaques distributed generally on her body of one and a half years duration. We considered it to be a generalized granuloma annulare, but the erythema was resistant to the standard modalities of treatment. We started rifampin, ofloxacin, and minocycline combination therapy that had been used to treat patients with paucibacillary leprosy . This therapy was effective but we stopped the therapy because of the side effect of thrombocytopenia. After normalization of platelet count, we resumed treatment with minocycline. The multiple annular erythematous plaques became discolored and flattened within 1 month. The combination therapy and minocycline monotherapy were thought to be an effective treatment for generalized granuloma annulare.

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 74 (1), 10-14, 2012

    Western Division of Japanese Dermatological Association

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