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She sought medical attention for intensely painful, red lesions on her face and neck, accompanied by a low-grade fever and general discomfort. The lesions were sharply defined, inflamed, and tender. She reported no recent exposure to new skincare products, cosmetics, household chemicals, diet changes, travel, insect bites, or infection symptoms. Her personal and family history was negative for autoimmune or dermatological conditions.

Due to the rapid onset and severity, she was referred urgently to dermatology. Clinicians suspected a drug-related reaction linked to her recent inhaler change. The indacaterol/glycopyrronium was immediately stopped, and she was started on oral corticosteroids to reduce inflammation and prevent progression.

Laboratory tests showed leukocytosis with neutrophilia, consistent with acute inflammation. Extensive serological testing ruled out infection, autoimmune disease, or systemic illness. Despite the dramatic skin findings, her vital signs were stable, and no organ involvement was detected.

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