DRUG WATCH |
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Year : 2015 | Volume
: 47
| Issue : 5 | Page : 560-562 |
Telmisartan induced urticarial vasculitis
Vikram K Mahajan1, Ravinder Singh1, Mrinal Gupta1, Rashmi Raina2
1 Department of Dermatology, Venereology and Leprosy, Dr. R. P. Government Medical College, Kangra (Tanda), Himachal Pradesh, India 2 Department of Pathology, Dr. R. P. Government Medical College, Kangra (Tanda), Himachal Pradesh, India
Correspondence Address:
Dr. Vikram K Mahajan Department of Dermatology, Venereology and Leprosy, Dr. R. P. Government Medical College, Kangra (Tanda), Himachal Pradesh India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0253-7613.165180
A 53-year-old man developed urticarial vasculitis following ingestion of telmisartan and hydrochlorothiazide combination for hypertension. Treatment with prednisolone and cetirizine was curative, but his lesions recurred when he continued telmisartan and hydrochlorothiazide against medical advice. Re-challenge with the same doses of telmisartan precipitated similar lesions with telmisartan and not with hydrochlorothiazide. This uncommon cutaneous adverse reaction of angiotensin II receptor blockers has implication for the clinicians as more such cases may become apparent with their wider use than in premarketing studies.
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