Anticonvulsants are the medications used in the treatment of epileptic conditions. There are various categories of anticonvulsant which includes hydantoins, barbiturates, benzodiazepines. Their use is also extended to treat bipolar disorders, borderline personality disorders as many are used in mood stabilization and reducing neuropathic pain. These drugs are known to cause various adverse effects depending on dose. Antiepileptic drugs not only cause adverse effects related to central nervous system but also cause cutaneous symptoms. Some of the cutaneous adverse symptoms related to antiepileptic medications are toxic epidermal necrolysis, Stevens-Johnson syndrome, acute generalized exanthematous pustulosis, drug induced hypersensitivity syndrome (DIHS), drug reaction with eosinophilia and systemic symptoms (DRESS). In this, we report about a patient presented with hyper pigmented scaly plaques on administration of phenytoin.
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