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ingestion come up:A 22-year-old white female student presented to the Emergency Department with a 2-day history of
patchy pruritic erythema of the face, neck, and arms with periodontal edema. The eruption began as
an isolated patch of nasal erythema, with subsequent extension to involve the entire face. Within 2
days, fine pinpoint pa-pules were noted on the face, anterior chest, neck, and upper extremities.
Periodontal edema was present without intraoral abnormalities or laryngeal changes. An
erythematous, mildly lichenified plaque was noted on the ventral left wrist. Complete avoidance of
mango led to resolution of the initial eruption. The clinical relevance of nickel and p-tertbutylphenol
formaldehyde resin was thought to be associated with the wrist lesion immediately below a glued
portion of a wristwatch strap and metal clasp.

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