Ecstasy (XTC) has become a popular drug in the rave, dance and techno
scene. Several severe disorders due to drug addiction have been descri
bed but no dermatological symptoms. We report on 2 patients (20-year-o
ld female, 21-year-old male) with medical problems after taking XTC. B
oth developed a facial rash with reddish pimples after oral intake of
XTC. The distribution resembled either periorificiaI dermatosis or acn
eiform rash without white- or blackheads. The lesions cleared without
specific treatment. We suggest that XTC pimples represent an acneiform
dermatosis in young people taking designer drugs. Though the dermatos
is itself seems to be mild, it may be a cutaneous marker for drug abus
e.