Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1986 Aug;39(8):902–907. doi: 10.1136/jcp.39.8.902

Severe cutaneous reactions to captopril and enalapril; histological study and comparison with early mycosis fungoides.

P N Furness, M J Goodfield, K A MacLennan, A Stevens, L G Millard
PMCID: PMC500128  PMID: 3018050

Abstract

A severe non-dose related skin eruption attributable to treatment with captopril was recently reported: this is distinct from the dose related rashes that have been widely described. Ultrastructural and immunohistochemical studies were carried out to determine in detail the histological features of this eruption: the histological appearances were similar to those found in early mycosis fungoides, so that this disease was erroneously diagnosed in one case. Unlike most other complications resulting from treatment with Captopril, an indistinguishable rash can result from treatment with enalapril, a newer angiotensin converting enzyme inhibitor.

Full text

PDF
902

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barnes J. N., Davies E. S., Gent C. B. Rash, eosinophilia, and hyperkalaemia associated with enalapril. Lancet. 1983 Jul 2;2(8340):41–42. doi: 10.1016/s0140-6736(83)90020-x. [DOI] [PubMed] [Google Scholar]
  2. Gavras I., Gavras H. Captopril and enalapril. Ann Intern Med. 1983 Apr;98(4):556–557. doi: 10.7326/0003-4819-98-4-556_2. [DOI] [PubMed] [Google Scholar]
  3. Goodfield M. J., Millard L. G. Severe cutaneous reactions to captopril. Br Med J (Clin Res Ed) 1985 Apr 13;290(6475):1111–1111. doi: 10.1136/bmj.290.6475.1111. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Hodsman G. P., Robertson J. I. Captopril: five years on. Br Med J (Clin Res Ed) 1983 Sep 24;287(6396):851–852. doi: 10.1136/bmj.287.6396.851. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Luderer J. R., Lookingbill D. P., Schneck D. W., Demers L. M., Cohen C., Hayes A. H., Jr Captopril-induced skin eruptions. J Clin Pharmacol. 1982 Apr;22(4):151–159. doi: 10.1002/j.1552-4604.1982.tb02156.x. [DOI] [PubMed] [Google Scholar]
  6. Lutzner M. A., Hobbs J. W., Horvath P. Ultrastructure of abnormal cells in Sezary syndrome, mycosis fungoides, and parapsoriasis en plaque. Arch Dermatol. 1971 Apr;103(4):375–386. doi: 10.1001/archderm.103.4.375. [DOI] [PubMed] [Google Scholar]
  7. MacKie R. M. Initial event in mycosis fungoides of the skin is viral infection of epidermal Langerhans cells. Lancet. 1981 Aug 8;2(8241):283–285. doi: 10.1016/s0140-6736(81)90529-8. [DOI] [PubMed] [Google Scholar]
  8. Slater D. N., Rooney N., Bleehen S., Hamed A. The lymph node in mycosis fungoides: a light and electron microscopy and immunohistological study supporting the Langerhans' cell-retrovirus hypothesis. Histopathology. 1985 Jun;9(6):587–621. doi: 10.1111/j.1365-2559.1985.tb02842.x. [DOI] [PubMed] [Google Scholar]
  9. Tan R. S., Butterworth C. M., McLaughlin H., Malka S., Samman P. D. Mycosis fungoides--a disease of antigen persistence. Br J Dermatol. 1974 Dec;91(6):607–616. doi: 10.1111/j.1365-2133.1974.tb12449.x. [DOI] [PubMed] [Google Scholar]
  10. Wilkin J. K., Hammond J. J., Kirkendall W. M. The captopril-induced eruption. A possible mechanism: cutaneous kinin potentiation. Arch Dermatol. 1980 Aug;116(8):902–905. [PubMed] [Google Scholar]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES