Abstract
A 26-year-old woman with no history of chronic illness presented with a 5-year history of intense pruritus in both axillae, worse during hot weather, sweating, and wearing deodorant. She denied malodor, drainage, and flares with menstruation. An examination revealed hyperpigmented, monomorphous, folliculocentric papules involving both axillae (Fig 1). Histology revealed parakeratotic plugging of the follicular infundibulum; follicular spongiosis; a perifollicular, lymphohistiocytic infiltrate with scattered eosinophils; and dilated, active apocrine glands (Fig 2).
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