%0 Journal Article %T Sparfloxacin-induced Nail Pigmentation: A Case of Fixed Drug Eruption? %A Husain Yahya %J Archive of "Annals of African Medicine". %D 2018 %R 10.4103/aam.aam_16_17 %X Sparfloxacin, a synthetic, second generation, broad spectrum aminodifluoroquinolone antibiotic, has excellent penetration into respiratory tissues and has good activity against Gram-positive, Gram-negative, and atypical bacteria. Although it is indicated for the treatment of adult community-acquired pneumonia and acute exacerbation of chronic bronchitis, its use has been limited by phototoxicity which is more common with it than with other quinolones. We report a case of a 20-year-old Nigerian woman who developed a diffuse blue-black nail pigmentation of thumb and big toe nails, 2 weeks after completing therapy with sparfloxacin, and a recurrence of the pigmentation in the same nails 1 year after taking the drug again. We think this is likely a case of subungual fixed drug eruption. We briefly discuss the causes and mechanisms of drug-induced nail pigmentation in general %K Drug-induced nail pigmentation %K fixed drug eruption %K sparfloxacin %K Pigmentation des ongles induite par un m¨¦dicament %K ¨¦ruption fixe des m¨¦dicaments %K sparfloxacine %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5810092/