Vitamin K1 injection induced localized scleroderma like lesion in pregnancy: A case report

Authors

  • Priyanka Banik R.  G.  Kar  Medical and  Hospital,  Kolkata,  West  Bengal,  India Author
  • Lopamudra Dhar Chowdury R. G. Kar Medical and Hospital, Kolkata, West Bengal, India Author
  • Koustuv Chowdhury R. G. Kar Medical and Hospital, Kolkata, West  Bengal, India Author
  • Abhik Saha Indian Pharmacopoeia Commission,National Coordination Centre, Pharmacovigilance Progmamme of India Author

Keywords:

Adverse Drug Reaction, Phytomenadione, Naranjo scale, Modified-Hartwig’s-criteria

Abstract

Cutaneous reaction due to Vitamin K1 (Phytomenadione) injection can present as hypersensitivity reaction at the injection site with morphea like lesion that can be deep  seated, involving the dermis & subcutaneous tissue, several days or weeks after  injection of vitamin K1. Texier  Disease,which is a scleroderma like lesion secondary to  vitamin K1 injection is one of the rarely encountered & reported condition.

Localised scleroderma is a rare autoimmune disorder characterized by fibrosis of the  skin and subcutaneous tissues. Although its etiology is not fully understood, several  factors including environmental triggers and genetic predisposition have been   implicated.

Author Biographies

  • Priyanka Banik, R.  G.  Kar  Medical and  Hospital,  Kolkata,  West  Bengal,  India

    2nd  year  MD  Post  Graduate  Trainee,  Department  of  Pharmacology

  • Lopamudra Dhar Chowdury, R. G. Kar Medical and Hospital, Kolkata, West Bengal, India

    Professor, Department of Pharmacology

  • Koustuv Chowdhury, R. G. Kar Medical and Hospital, Kolkata, West  Bengal, India

    Assistant Professor, Department of  Pharmacology

  • Abhik Saha, Indian Pharmacopoeia Commission,National Coordination Centre, Pharmacovigilance Progmamme of India
    Jr. Pharmacovigilance Associate Indian Pharmacopoeia Commission National Coordination Centre  Pharmacovigilance Progmamme of India R G Kar Medical College

References

Choudhary, B., Kumari, S., Dhingra, B., & Jhaj, R. (2016). A clinically suspected case of Anaphylactoid reaction to vitamin K injection in a child - a case report and review of literature. Indian journal of pharmacology, 48(4), 455–457.

Mi, Y. N., Ping, N. N., Xiao, X., Zhu, Y. B., Liu, J., & Cao, Y. X. (2014). The severe adverse reaction to vitamin k1 injection is anaphylactoid reaction but not anaphylaxis. PloS one, 9(3), e90199.

Moreau-Cabarrot, A., Giordano-Labadie, F., & Bazex, J. (1996). Hypersensibilité cutanée au point d'injection de vitamine K1 [Cutaneous hypersensitivity at the site of injection of vitamin K1]. Annales de dermatologie et de venereologie, 123(3), 177–179..

Pang, B. K., Munro, V., & Kossard, S. (1996). Pseudoscleroderma secondary to phytomenadione (vitamin K1) injections: Texier's disease. The Australasian journal of dermatology, 37(1), 44–47.

Pereira, S. P., & Williams, R. (1998). Adverse events associated with vitamin K1: results of a worldwide postmarketing surveillance programme. Pharmacoepidemiology and drug safety, 7(3), 173–182.

Riegert-Johnson, D. L., & Volcheck, G. W. (2002). The incidence of anaphylaxis following intravenous phytonadione (vitamin K1): a 5-year retrospective review. Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 89(4), 400–406.

SFDA PRC (2011) Alert regarding serious allergic reactions to vitamin K1 injection. National Center for ADR Monitoring

Sousa, T., Hunter, L., Petitt, M., & Wilkerson, M. G. (2010). Letter: Localized cutaneous reaction to intramuscular vitamin K in a patient with acute fatty liver of pregnancy. Dermatology online journal, 16(12), 16.

Wilkins, K., DeKoven, J., & Assaad, D. (2000). Cutaneous reactions associated with vitamin K1. Journal of cutaneous medicine and surgery, 4(3), 164–168.

Rook’s Dermatology volume 3 chapter 99.46. Retrieved from http://www.rooksdermatology.com/contents/chapters

Downloads

Published

2024-06-01

How to Cite

Vitamin K1 injection induced localized scleroderma like lesion in pregnancy: A case report. (2024). Journal of Pharmacovigilance and Drug Research, 5(2), 13-15. https://test.jpadr.com/index.php/jpadr/article/view/108

Most read articles by the same author(s)

Similar Articles

21-30 of 84

You may also start an advanced similarity search for this article.