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Quantitative Autonomic Testing
Published on: July 19, 2011
Pseudochromhidrosis: blue discolouration of the head and neck
Sarah Hill1, Mark Duffill, Duncan Lamont
1Department of Dermatology, Waikato Hospital, Hamilton, New Zealand. sarahhillnz@gmail.com
Abstract:
A 57-year-old man is presented with blue pseudochromhidrosis affecting the face and neck following combination treatment with lansoprazole, a proton pump inhibitor, and ranitidine, a type two histamine receptor antagonist. The diagnosis was made on the basis of clinico-histological features and growth of Malassezia furfur, and Bacillus species, not Bacillus cereus, in the absence of lipofuscin. The pseudochromhidrosis resolved on stopping both medications and did not recur on restarting only the proton pump inhibitor.
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