Volume 12 - Issue 9 - September 2004

A patient came to our Veterans Administration dermatology clinic this summer with a unilateral papular, pruritic, red eruption of the left chest/breast area. The diagnosis was uncertain — a folliculitis seemed most likely — so the patient was treated with topical clindamycin. The eruption did not resolve, but when the patient returned, the diagnosis suddenly became apparent. The dermatologist’s suspicions were confirmed when the patient buttoned the shirt that he had removed to show the rash. Coincidently, a second patient with a nearly identical unilateral pruritic left chest rash prese