DERMATITIS DUE TO TRIETHYLENE MELAMINE THERAPY

Abstract
The administration of triethylene melamine (TEM) in various hematological disorders has led to the widespread use of this drug since it was introduced in 1951.1 The usual side-effects have been manifested by a toxic depression of the marrow, i. e., anemia, thrombocytopenia, leukopenia, and gastrointestinal disturbances, with nausea and vomiting. We wish to present what appears to be the first recorded instance of a dermatitis due to such therapy. REPORT OF A CASE A 57-year-old white woman was admitted to the Albert Einstein Medical Center, Southern Division, Medical Service No. 1, because of weakness of six months' duration associated with a 50 lb. (22.7 kg.) weight loss. Dyspnea on exertion was recently noted. Fever and night sweats were not present. Physical examination revealed blood pressure to be 132/80 mm. Hg, pulse 82, respirations 18, and temperature 98.6 F. There was no pallor, icterus, splenomegaly, purpura, or glossitis. Generalized adenopathy