What are the causes of coin-shaped lesions on the arm after using Voltaren (Diclofenac)?

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Last updated: May 15, 2025View editorial policy

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Differential Diagnosis for Coin Shaped Lesions on Arm After Voltaren

  • Single Most Likely Diagnosis
    • Fixed Drug Eruption: This is a common adverse reaction to certain medications, including Voltaren (diclofenac), characterized by coin-shaped lesions that occur at the same site each time the drug is taken.
  • Other Likely Diagnoses
    • Contact Dermatitis: Direct contact with Voltaren gel or other topical agents can cause an allergic or irritant reaction, leading to skin lesions.
    • Photosensitive Reaction: Voltaren can cause photosensitivity, and exposure to sunlight may exacerbate the skin lesions.
    • Erythema Multiforme: A skin condition characterized by target-like lesions, which can be triggered by medications like Voltaren.
  • Do Not Miss Diagnoses
    • Stevens-Johnson Syndrome: A rare but life-threatening condition that can be triggered by medications, including Voltaren, characterized by widespread skin lesions and mucosal involvement.
    • Toxic Epidermal Necrolysis: A severe skin condition that can be caused by medications, resulting in widespread skin necrosis and detachment.
  • Rare Diagnoses
    • Pemphigus: A group of autoimmune skin diseases characterized by blistering lesions, which can be triggered by certain medications.
    • Cutaneous Lupus: A chronic autoimmune skin condition that can be triggered by certain medications, including Voltaren, and is characterized by discoid lesions.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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