Case 2440 8.11.19 (R. Carr) M 65 nodules shins (great case!)
Prurigo-nodularis-like lesions on shin. Pseudo-epitheliomatous hyperplasia with neutrophil and eosinophil abscesses in follicles. Caused by bromine and fluorine in inhalers.
Ref: Clin Exp Dermatol 2018 43: 959
Case 2876 15.7.21 (S. Taibjee) M 79 groin ulcerating nodules
Many, including me thought this was pemphigus vegetans. Combination of epidermal hyperplasia, microabscesses with neutrophils and eosinophils and a hint of acantholysis. DIF -ve.
Patient was using an inhaler containing glycopyrronium bromide. Lesions settled after stopping it.
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