Psoriasiform Drug Eruption to Finasteride: Uncommon Side Effect of a Commonly Used Drug

    November 2022 in “ International Journal of Trichology
    Aishwarya Muddebihal, Ananta Khurana, Anita Kulhari, Arvind Ahuja
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    Studysummary This case study reports a 25-year-old male developing an extensive psoriasiform eruption within a week after starting finasteride 1 mg for androgenetic alopecia.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    A 25-year-old male developed an extensive psoriasiform eruption within 5 days of starting finasteride 1 mg daily for androgenetic alopecia. The patient presented with pruritic, erythematous, scaly papules and plaques on various parts of his body, excluding mucosa and genitals. Laboratory tests were normal, and a skin biopsy confirmed a psoriasiform drug eruption. The patient stopped finasteride and was treated with topical steroids and antihistamines, leading to complete resolution of the rash within 3 weeks. This case highlights the rare but significant cutaneous adverse effects of finasteride, emphasizing the need for clinicians to be aware of such potential reactions.
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