A 40yearold female patient was referred to the department of Dermatology with subcutaneous nodules and ulcers years after starting with immunotherapy injections (Purethal) for hay fever. The skin reaction appeared to be due to aluminium hydroxide, which is used as an adjuvant to many injections and vaccins. Aluminium hydroxide can cause delayed granulomatous contact dermatitis or foreign body reactions. Conflict of interest and financial support: none declared.

Additional Metadata
Persistent URL hdl.handle.net/1765/96512
Journal Nederlands Tijdschrift voor Geneeskunde
Bouten, H, Nijsten, T.E.C, & Hegt, V.N. (2016). Cutane ulcererende noduli na jarenlang immunotherapie. Nederlands Tijdschrift voor Geneeskunde, 160(27). Retrieved from http://hdl.handle.net/1765/96512