The drug is metabolized by bleomycin hydrolase, but it has been shown to have adverse effects in tissues with relatively low levels of this enzyme, such as the lungs and skin. 1, 2 Minor trauma to the ...

The differential diagnosis for the patient’s rash included vasculitis, cellulitis, contact dermatitis, venous stasis and a cutaneous drug reaction. Our patient had a skin biopsy, which showed ...