have been associated with HCTZ. Phototoxic dermatitis has been reported. Rarely, a distinct entity with clinical and laboratory features indistinguishable from those of subacute cutaneous lupus erythematosus has been reported. A 62-year-old man with ischemic heart disease developed a generalized, chronic, nummular , psoriasiform, erythematous rash that disappeared after metoprolol was withheld.