Schneiderman Prelims Vol-I. qxd

BLUE SPOTS
79
Schneiderman page 1-100.qxd 5/16/2006 6:49 PM Page 79

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Tetracycline – blue–green pigmentation of legs following trauma
Ped Derm 21:164–166, 2004
Thorazine ochronosis
Vitamin K injection reaction
Zidovudine – blue lunulae, blue nails 
JAAD 46:284–293, 2002
EXOGENOUS AGENTS
Accidental tattoos – collier’s stripes 
Br J Dermatol Syphilol
52:129–130, 1940; silversmith, IVDA
Argyria – blue–gray generalized hyperpigmentation; cutaneous
blue pigmentation and blue lunulae – silver salts, colloidal silver
dietary supplements, nose drops (Argyrol); topical silver
sulfadiazine 
Cutis 66:373–374, 2000; blue nails Ghatan p.78,
2002, Second Edition; occupational – blue
nevus-like annulus; from silver ring traumatically implanted 
AD
132:459–464, 1996; blue nevi-like dotted occupational argyria
JAAD 27:1015–1016, 1992; localized argyria and chrysiasis
from implanted silver and gold tipped acupuncture needles
JAAD 29:833–837, 1993; AD 122:1550–1552, 1985; exogenous
argyria due to silver mining, manufacture of silverware and
metal alloys, electroplating solutions, photographic processing,
jewelry, surgical and dental procedures, silver earrings,
acupuncture needles 
JAAD 46:222–227, 2002
Black dermatographism
Blue suede shoes
Butyl nitrate inhalation – blue nose 
AD 135:90–91, 1999
Carbolic acid dressings – for chronic ulcers 
JAAD 52:122–124,
2005
Chrysiasis (gold) – Q-switched laser-induced chrysiasis
AD 138:1012–1014, 2002
Clothing dye
Cutaneous pili migrans (embedded hair) – resembling
cutaneous larva migrans 
BJD 144:219, 2001; AD 76:254, 1957
Earring-induced localized iron tattoo 
JAAD 24:788–789, 1991;
silver earrings; blue macules of posterior earlobe 
Dermatologica
177:189–191, 1988
Exogenous ochronosis – hydroquinone, phenol, resorcinol,
picric acid, chloroquine (intramuscular or oral)
BJD 93:613–622, 1975
FD&C blue dye no. 1 – blue discoloration of entire cutaneous
surface due to enteral feedings tinted with blue dye
NEJM 343:1047–1048, 2000
Foreign bodies (gravel, shrapnel) 
Formaldehyde nail hardeners – blue discoloration of nails 
Rook
p.2867, 1998, Sixth Edition
Mercury-containing bleaching agents – blue–gray pigmentation
Cutis 61:248, 1998
Metal sutures
Silversmith – traumatic silver tattoos
Tattoo pigment fanning – blue periorbital hyperpigmentation
Cutis 68:53–55, 2001
Textile dyes, staining 
Cutis 66:287–288, 2000