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Eczematous drug eruption from carbamazepine: coexistence of contact and photocontact sensitivity

We report a 46–year–old patient with an eczematous eruption on sun–exposed areas which we believe was caused by carbamazepine intake. Oral provocation with the drug produced papulo–vesicular eruptions that were greatly potentiated by long–wave ultraviolet irradiation. Positive reactions to carbamazepine were elicited by patch and photopatch tests and by lymphocyte stimulation tests 6 months after cessation of the intake of carbamazepine.