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Correspondence
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Volume 348:1932-1934 May 8, 2003 Number 19
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Bromoderma after Excessive Ingestion of Ruby Red Squirt

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To the Editor: We report a case of bromoderma from excessive ingestion of a soft drink. A 63-year-old man presented with a two-week history of tender, ulcerated, erythematous nodules on his hands and fingers (Figure 1). There was no history of recent travel or trauma. Skin biopsy revealed epidermal hyperplasia with sheets of intraepidermal and dermal neutrophils. Tissue culture was negative for microorganisms. The patient reported that he had been drinking 8 liters of Ruby Red Squirt daily for several months. This soft drink contains brominated vegetable oil. The patient's serum bromine level was 0.96 mg per deciliter . . . [Full Text of this Article]



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