Papules in the Axillae of a Woman
| Autor: | Carrie L. Kovarik, Rachel H. Gormley, Aimee S. Payne |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Antiperspirants medicine.diagnostic_test business.industry Physical examination Papule Dermatology Dapsone Lamotrigine Rash Surgery body regions Axilla medicine.anatomical_structure Acneiform Eruptions medicine Humans Medical history Female medicine.symptom business medicine.drug |
| Zdroj: | JAMA dermatology. 151(8) |
| ISSN: | 2168-6084 |
| Popis: | Awoman in her early 40s presented with a 6-month history of rash in the bilateral axillae. The areas involvedwere not itchy or tender but bothered her cosmetically. The patient reported using an aluminumcontainingantiperspirantsprayforyearsbefore theonsetof theeruptionbuthadsince discontinueduseofdeodorantsor antiperspirants without improvement in her lesions. Hermedical history was significant only for epilepsy, and her daily medications included lamotrigine and cholecalciferol. Physical examination revealed multiple red-brown to purplish follicular papules and nodules in bilateral axillae with focal areas of scarring (Figure 1). No facial lesions were noted. She did not improve with multiple medications, including topical antifungals, topical corticosteroids, oral ketoconazole, topical dapsone, doxycycline(40mg/d),minocycline(100mgtwicedaily),acombination ofamoxicillinandclavulanate,and intralesional triamcinoloneacetonide. A4-mmpunchbiopsywas performedon the right axilla for evaluation. Quiz at jamadermatology.com Figure 1. Clinical examination findings. Multiple red-brown papules within the axilla bilaterally. |
| Databáze: | OpenAIRE |
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