A 59-year-old man presented with a 3-week history of painful, enlarging lesions on his abdomen that had developed after he sustained a pavement abrasion injury. Daily cleansing with hydrogen peroxide was of no benefit. The patient was a recovering alcoholic; his medical history was significant for hypertension, chronic obstructive pulmonary disease, and depression. His medications included albuterol, ipratropium bromide, and fluoxetine. He had no history of halogen ingestion or recent travel. A serologic test had been negative for human immunodeficiency virus infection 4 years earlier.
Magee KH, Pollack BP, Raugi GJ. Pustule-Studded Plaques After Abrasion Injury—Quiz Case. Arch Dermatol. 2006;142(12):1643-1648. doi:10.1001/archderm.142.12.1643-a