Case report2012

Fixed-drug eruption caused by ashwagandha (Withania somnifera): a widely used Ayurvedic drug

Sehgal VN, Verma P, Bhattacharya SN

Skinmed · 3 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Case report (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2012-02-23 · Skinmed · vol. 10 · issue 1 · pp. 48–9
Publisher
National Institutes of Health
Cited
3 citations · more than 33% of similar papers · 0.0× the field average
References
0 works
Access
Paywalled
Research areas
Drug-Induced Adverse Reactions · Chemotherapy-related skin toxicity · Contact Dermatitis and Allergies
Keywords
Medicine, Glans penis, Penis, Itching, Dermatology, Withania somnifera, Drug, Clobetasol propionate, Drug eruption, Provocation test, Pharmacology, Surgery, Psoriasis, Pathology
MeSH
humans, withania, penile diseases, drug eruptions, cetirizine, clobetasol, plant extracts, medicine, ayurvedic, phytotherapy, adult, male

3 authors

  • Virendra Nath Sehgal
  • Prashant R. Verma
  • Sambit Nath Bhattacharya

Abstract

A 28-year-old man with decreased libido received ashwagandha in the usual daily dosage of 5 g for 10 days. During this period, he experienced a burning and/or itching sensation as well as discoloration of the skin/mucous membrane confined to the penis. He had a similar type of eruption at the same site 6 months prior while taking ashwagandha. Examination of the skin surface was conspicuous and marked by the presence of a dusky, erythematous, oval, eroded plaque of 3 cm, affecting the glans penis and prepuce (Figure). The drug was withdrawn and topical 0.05% clobetasol propionate cream was administered along with cetrizine dihydrochloride, an H1-receptor blocker, 10 mg daily for 1 month. There was a perceptible amelioration of the lesion, resulting in residual greyish white pigmentation. He was prescribed oral drug provocation with 1 g of ashwagandha powder. Within 12 hours, a flare-up developed at the earlier site, confirming the causality.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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