case_images: PMC11258541_01
case_images: Hypersensitivity reaction (papular lesions) on the patient's body with black arrow.
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case_images: PMC11258541_01_f1000research-12-168833-g0000.jpg
case_images: f1
case_images: Further investigation revealed that the patient had previously had papular lesions ( Figure 1), itching, and burning after being exposed to various stimuli, including sunshine, hot meals, unpleasant odours, emotions, and exercise, as well as comparable bouts of fainting.
case_images: Panel A and B: Histopathological images of skin biopsy from anterior chest wall showing thinned out and atrophied lining epithelium. Panel C: Deeper tissue show increased collagenosis, loss of adnexal structures and scattered chronic lymphocytic inflammatory infiltrate in superficial dermis on histopathology.
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case_images: PMC11258541_01_f1000research-12-168833-g0001.jpg
case_images: f2
case_images: A section from skin biopsy from anterior chest wall ( Figure 2) showed thinned-out and atrophied lining epithelium (panel A and B). Deeper tissue showed increased collagenosis, loss of adnexal structures and scattered chronic lymphocytic inflammatory infiltrate in superficial dermis on histopathology as shown in Figure 2, panel C.