{
  "abstract": "Antibiotics are indicated for inappropriately prolonged durations not only for infectious diseases but also for non-infectious dermatologic conditions such as acne vulgaris, but inappropriate use is not uncommon. Inappropriate antibiotic prescription can contribute to the emergence of multidrug-resistant organisms, patient harm such as adverse drug events and increased healthcare costs. We experienced a case involving a late adolescent with acne vulgaris who had been treated with minocycline for more than 2 years, leading to the development of drug-induced lupus, attributed to minocycline. This resulted in multiple clinic and emergency department visits and extensive and expensive workups, including an invasive procedure. A collaboration between antibiotic stewardship activities and patient-centred medication reviews, followed by personalised deprescribing, could effectively mitigate inappropriate antibiotic prescriptions for non-infectious dermatologic conditions.",
  "authors": [
    {
      "affiliations": [
        "Division of Infectious Diseases, Department of Internal Medicine, University of Iowa, Iowa City, Iowa, USA"
      ],
      "name": "Shinya Hasegawa"
    },
    {
      "affiliations": [
        "Rheumatology, Iowa Arthritis and Osteoporosis Center, Urbandale, Iowa, USA"
      ],
      "name": "Steven M Craig"
    },
    {
      "affiliations": [
        "Division of Infectious Diseases, Department of Internal Medicine, University of Iowa, Iowa City, Iowa, USA"
      ],
      "name": "Hiroyuki Suzuki"
    }
  ],
  "title": "Minocycline-induced lupus",
  "uid": "c4db30d6-b1c6-531e-9fe0-6d6ad8264941"
}