Letters
Nicorandil induced perianal ulceration
Authors’ reply to Herxheimer
BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f4354 (Published 16 July 2013) Cite this as: BMJ 2013;347:f4354
- Elizabeth Kulakov, dermatology registrar1,
- Susannah Baron, consultant dermatologist1
- 1East Kent Hospitals University Foundation Trust, Friends Dermatology Centre, Kent and Canterbury Hospital, Canterbury CT1 3NG, UK
- elizabeth.kulakov{at}gmail.com
Our patient took nicorandil 40 mg once daily for five months before discontinuing it at his first dermatology appointment when we made the link to his perianal ulceration.1 2 A biopsy was not taken because of the typical clinical appearance and absence of other red flag symptoms; biopsy would have been …
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