Volume 17 - Issue 2 - February 2009

Patient Presentation A 47-year-old African-American female presented to our clinic with a 1-month history of a “rash” in her axillae. She denied any change in personal hygiene products around the time the eruption appeared. She was otherwise healthy, had no known history of allergies and was taking no medications. The patient used topical Neosporin Ointment (Polymyxin B-Sulfate-Bacitracin Zinc-Neomycin Sulfate) on both axillae for 2 weeks, which caused the axillary skin changes to become slightly more pronounced. Upon physical examination, there were hyperkeratotic, hyperpigment