A woman in her early 40s presented with a 6-month history of rash in the bilateral axillae. The areas involved were not itchy or tender but bothered her cosmetically. The patient reported using an aluminum-containing antiperspirant spray for years before the onset of the eruption but had since discontinued use of deodorants or antiperspirants without improvement in her lesions. Her medical history was significant only for epilepsy, and her daily medications included lamotrigine and cholecalciferol.
Gormley RH, Kovarik CL, Payne AS. Papules in the Axillae of a Woman . JAMA Dermatol. 2015;151(8):893-894. doi:10.1001/jamadermatol.2015.0697