case_images: PMC6134482_01
case_images: Interstitial granulomatous drug reaction. Papules on the (a) medial feet and (b) bilateral forearms.
case_images: 10.1177_2050313X18795075-fig1.jpg
case_images: PMC6134482_01_10.1177_2050313X18795075-fig1.jpg
case_images: fig1-2050313X18795075
case_images: On physical exam, the patient had erythematous, infiltrated papules and plaques on the forearms and tender, erythematous dusky papules and plaques along the medial aspect of the feet (Figure 1).
case_images: Interstitial granulomatous drug reaction. Pathology demonstrates diffuse interstitial granulomatous infiltrates consisting of histiocytes amid thickened collagen accompanied by eosinophils (H&E, (a) x5 original magnification and (b) x10 original magnification).
case_images: 10.1177_2050313X18795075-fig2.jpg
case_images: PMC6134482_01_10.1177_2050313X18795075-fig2.jpg
case_images: fig2-2050313X18795075
case_images: Features were consistent with IGDR (Figure 2).
case_images: Interstitial granulomatous drug reaction. Papules and plaques on bilateral thighs.
case_images: 10.1177_2050313X18795075-fig3.jpg
case_images: PMC6134482_01_10.1177_2050313X18795075-fig3.jpg
case_images: fig3-2050313X18795075
case_images: She subsequently developed new lesions on her thighs (Figure 3), but denied any joint pain.