PMC7335285_01
Rash and minimal lesions with itching. (Photo taken by patient herself.)
JAA-13-205-g0001.jpg
PMC7335285_01_JAA-13-205-g0001.jpg
F0001
Rash and itching on the anterior surface of the left arm and hand, which the patient felt worsen.
JAA-13-205-g0002.jpg
PMC7335285_01_JAA-13-205-g0002.jpg
F0002
Whenever she was exposed to antihistamine (10 mg cetirizine) and corticosteroid (4 mg methylprednisolone), she felt her skin lesions and itching abruptly increased, which were predominantly on the anterior surface of the left arm and hand (unilateral) (Figure 2).
Generalized itchy rash lesions (full blown).
JAA-13-205-g0003.jpg
PMC7335285_01_JAA-13-205-g0003.jpg
F0003
Multiple papules appeared all over the body, predominantly on the anterior surface of the left arm and hand (asymmetric/unilateral), and the back part of the body was itchy (Figure 3).
Admission chest radiograph, without any abnormality.
JAA-13-205-g0004.jpg
PMC7335285_01_JAA-13-205-g0004.jpg
F0004
She felt chest discomfort, but the chest radiograph showed no cardiac, pleural or pulmonary abnormalities (Figure 4).
The epidermis with focal parakeratosis.
JAA-13-205-g0005.jpg
PMC7335285_01_JAA-13-205-g0005.jpg
F0005
The epidermis had focal parakeratosis (Figure 5).
The epidermis with superficial and deeper extension full of inflammatory infiltrates, numerous lymphocytes and a few eosinophils.
JAA-13-205-g0006.jpg
PMC7335285_01_JAA-13-205-g0006.jpg
F0006
PMC7335285_02