Vancomycin Associated Palmo-Plantar Erythema in a Hemodialysis Patient

Yen Chih Wang, I. Wen Wu, Chia Chi Chou, Chi Ren Tsai, Wen-Hung Chung, Mai-Szu Wu

Research output: Contribution to journalArticle

Abstract

A 65-yeat old woman with end-stage renal disease (ESRD) on maintenance hemodialysis was admitted for fever and chills for 3 days accompanied by forearm arterio-venous graft (AVG) swelling. Hematogram revealed marked leukocytosis (25800/μL) and blood culture reported methicillin-resistant Staphylococcus aureus (MRSA). Vancomycin (1 gram every 4 days) was used for AVG MRSA infection. Skin itching over palmar and plantar areas developed after a 2-week course of vancomycin. Palmar and plantar erythema occurred one day later and progressed to scaling lesions during the next 3 days. These desquamative leslons gradually improved after topical steroid use and vancomycin was withdrawn. We reported a vancomycin-induced palmoplantar erythema in a patient with maintenance hemodialysis. This report suggests vancomycin should be prescribed to dialysis patients with more caution.
Original languageEnglish
Pages (from-to)43-46
Number of pages4
JournalActa Nephrologica
Volume23
Issue number1
Publication statusPublished - 2009
Externally publishedYes

Fingerprint

Vancomycin
Erythema
Renal Dialysis
Methicillin-Resistant Staphylococcus aureus
Maintenance
Transplants
Chills
Leukocytosis
Pruritus
Forearm
Chronic Kidney Failure
Dialysis
Fever
Steroids
Skin
Infection

Keywords

  • palmo-plantar erythema
  • palmo-plantar erythrodysesthesia
  • acral erythema syndrome
  • vancomycin
  • endstage renal disease

Cite this

Wang, Y. C., Wu, I. W., Chou, C. C., Tsai, C. R., Chung, W-H., & Wu, M-S. (2009). Vancomycin Associated Palmo-Plantar Erythema in a Hemodialysis Patient. Acta Nephrologica, 23(1), 43-46.

Vancomycin Associated Palmo-Plantar Erythema in a Hemodialysis Patient. / Wang, Yen Chih; Wu, I. Wen; Chou, Chia Chi; Tsai, Chi Ren; Chung, Wen-Hung; Wu, Mai-Szu.

In: Acta Nephrologica, Vol. 23, No. 1, 2009, p. 43-46.

Research output: Contribution to journalArticle

Wang, YC, Wu, IW, Chou, CC, Tsai, CR, Chung, W-H & Wu, M-S 2009, 'Vancomycin Associated Palmo-Plantar Erythema in a Hemodialysis Patient', Acta Nephrologica, vol. 23, no. 1, pp. 43-46.
Wang YC, Wu IW, Chou CC, Tsai CR, Chung W-H, Wu M-S. Vancomycin Associated Palmo-Plantar Erythema in a Hemodialysis Patient. Acta Nephrologica. 2009;23(1):43-46.
Wang, Yen Chih ; Wu, I. Wen ; Chou, Chia Chi ; Tsai, Chi Ren ; Chung, Wen-Hung ; Wu, Mai-Szu. / Vancomycin Associated Palmo-Plantar Erythema in a Hemodialysis Patient. In: Acta Nephrologica. 2009 ; Vol. 23, No. 1. pp. 43-46.
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