FiguresFigure 1Rash on the legs.Figure 2Hyper-pigmented skin (sparing the knee) at 3 months of follow-up.A 26-year-old healthy woman presented to an urgent care clinic with a 5-day history of a mild to moderately painful erythematous rash on both legs. At the time that the rash developed, she was vacationing on a Caribbean island. Approximately 24?h before onset of the rash, she had been squeezing limes into a chicken taco on an outside terrace at a local restaurant. She had also squeezed a lemon into a pi?a colada while eating the chicken taco. In the morning prior to this lunch, she had shaved her legs, which she has always done without developing a rash.
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