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Wiley InterScience

Journal of the European Academy of Dermatology and Venereology

Journal of the European Academy of Dermatology and Venereology

Volume 20 Issue 4, Pages 435 - 439

Published Online: 9 Feb 2006

Journal compilation © 2010 European Academy of Dermatology and Venereology



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CASE REPORT
Minocycline-induced cutaneous hyperpigmentation: confocal laser scanning microscope analysis
RP Dodiuk-Gad, HM de Morentin, J Schafer§, A Harel, M Neudorfer††¶¶, F Misonzhnik‡‡, G Gitstein§§, D Rozenman, E Tur‡¶¶, S Brenner*‡¶¶
  Departments of Dermatology and   §Pathology, Ha"emek Medical Center, Afula   Departments of Dermatology,   ††Ophthalmology,   §§Pathology, and   ‡‡Pathology-Immunohistochemistry Unit, and   Pediatric Dermatology Unit, Dana Children"s Hospital, Tel Aviv Sourasky Medical Center   ¶¶Sackler School of Medicine, Tel Aviv University, Israel
  *Corresponding author, Department of Dermatology, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, Tel Aviv 64239 Israel, tel. +972-3-6973356; fax +972-3-6974810; E-mail: derma@tasmc.health.gov.il

The authors have no commercial interest, neither current nor over the past 5 years, in any of the drugs mentioned in the manuscript.

Copyright © 2006 European Academy of Dermatology and Venereology
KEYWORDS
confocal microscope • fluorescence • hyperpigmentation • minocycline

Abstract

AbstractIntroductionPatients and methodsResultsDiscussionAcknowledgementsReferences

Background Minocycline has a characteristic yellow-green fluorescent emission. This fluorescence has been previously demonstrated only in type 1 minocycline-induced skin hyperpigmentation.

Objective To investigate whether the fluorescence can be detected in other types of minocycline-induced cutaneous hyperpigmentation, and to study the possible mechanisms.

Methods Biopsies of pigmented and nonpigmented skin from 3 patients with different types of skin hyperpigmentation induced by minocycline were analysed by light microscopy and Confocal Laser Scanning Microscope (CLSM).

Results A yellow-green fluorescence was observed in the hyperpigmented skin of two patients with type 2, and one patient with type 4 minocycline–induced cutaneous hyperpigmentation. No fluorescence was detected in the non-pigmented skin.

Conclusion Minocycline can possibly serve as a fluorescent probe in the diagnosis of all types of minocycline-induced cutaneous hyperpigmentation.


Received: 3 September 2004, accepted: 9 December 2004

DOI: 10.1111/j.1468-3083.2006.01436.x

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1468-3083.2006.01436.x About DOI

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