case_images: PMC7335285_01
case_images: Rash and minimal lesions with itching. (Photo taken by patient herself.)
case_images: JAA-13-205-g0001.jpg
case_images: PMC7335285_01_JAA-13-205-g0001.jpg
case_images: F0001
case_images: Rash and itching on the anterior surface of the left arm and hand, which the patient felt worsen.
case_images: JAA-13-205-g0002.jpg
case_images: PMC7335285_01_JAA-13-205-g0002.jpg
case_images: F0002
case_images: 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).
case_images: Generalized itchy rash lesions (full blown).
case_images: JAA-13-205-g0003.jpg
case_images: PMC7335285_01_JAA-13-205-g0003.jpg
case_images: F0003
case_images: 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).
case_images: Admission chest radiograph, without any abnormality.
case_images: JAA-13-205-g0004.jpg
case_images: PMC7335285_01_JAA-13-205-g0004.jpg
case_images: F0004
case_images: She felt chest discomfort, but the chest radiograph showed no cardiac, pleural or pulmonary abnormalities (Figure 4).
case_images: The epidermis with focal parakeratosis.
case_images: JAA-13-205-g0005.jpg
case_images: PMC7335285_01_JAA-13-205-g0005.jpg
case_images: F0005
case_images: The epidermis had focal parakeratosis (Figure 5).
case_images: The epidermis with superficial and deeper extension full of inflammatory infiltrates, numerous lymphocytes and a few eosinophils.
case_images: JAA-13-205-g0006.jpg
case_images: PMC7335285_01_JAA-13-205-g0006.jpg
case_images: F0006
case_images: PMC7335285_02