Case Reports

Keratolysis exfoliativa-like eruption induced by ranolazine

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Received: 13 May 2021
Accepted: 12 July 2021
Published: 22 March 2022
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Dermatoses affecting palms may represent a dermatologic challenge from both the diagnostic, and therapeutic point of view. Patients with supposedly occupational dermatitis can spend months or even years in a frustrating attempt to avoid contact with possible irritants or allergens. To underline the importance of a thorough unbiased analysis of the patient’s history and clinical features, we present the iconic case of a bricklayer affected by a chronic, disabling desquamation of palms which in the end was classified as keratolysis exfoliativa (KE) attributed to ranolazine-intake, an antianginal drug. To the best of our knowledge, this specific adverse effect of druginduced KE of palms has never been reported before in association with ranolazine.

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1.
Pierobon E, Germi L, Sechi A, Trevisan G, Pezzolo E, Feliciani C, et al. Keratolysis exfoliativa-like eruption induced by ranolazine. Dermatol Reports [Internet]. 2022 Mar. 22 [cited 2026 Apr. 18];14(1). Available from: https://journals.pagepress.net/dr/article/view/9264