Abstract
An 80-year-old man with stage 4 chronic renal disease, chronically medicated with amiodarone, presented with a vesiculopustular eruption on his face and neck two days after undergoing chest computed angiotomography with iodinated contrast. A skin biopsy showed dense neutrophilic infiltrate with cryptococcus-like structures. Clinicopathological correlation allowed the diagnosis of iododerma, which was later confirmed by raised serum iodine levels. Iododerma is a rare dermatosis triggered by the exposure to iodinated contrast and/or iodine-containing drugs. Although rare, dermatologists must recognize this polymorphic entity, mainly prevalent in patients with renal insufficiency.
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