Iododerma tuberosum L27.1

Drug exanthema caused by iodine-containing drugs. S.a. Bromoderm.

Especially in the facial area; in the area of the nose. The legs can also be affected.

Nodular, reddish-brown, inflammatory changes of the skin with ulcer-crusted surface and pustular rim.

Granulomatous inflammation in the corium, pseudocarcinomatous epidermal hyperplasia, intraepidermal abscess formation.

Increased iodine excretion in the urine.

Antiphlogistic ointments such as 5% dexpanthenol cream. S.a.u. Bromoderm.

Stop the iodine therapy. Immediate measures with 5-10% sodium thiosulfate solution and 0.9% sodium chloride solution i.v. as well as table salt p.o. if necessary. Application of systemic glucocorticoids such as prednisolone (e.g. Decortin H) initially 40-80 mg/day i.v., slowly balance out.