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JAMA Dermatology Clinicopathological Challenge
August 2015

Papules in the Axillae of a Woman

Author Affiliations
  • 1Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Dermatol. 2015;151(8):893-894. doi:10.1001/jamadermatol.2015.0697

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.