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(a) and (b) Typical eruption of excoriated papules and urticarial lesions on the forearm of patient #1. Photos courtesy of M Gooderham.
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The first case involved a 52-year-old healthy female from Wellington County who presented with widespread erythematous papules on her arms (Figure 2) and chest.
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(a) and (b) Serpiginous and clustered eruption of pruritic papules in patient #6. Photos courtesy of J Beecker.
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Overnight, she developed pruritic erythematous urticarial plaques and papules on her arms, as well as a serpiginous pattern of papules on her abdomen (Figure 3).