Case Letter
Oral Fixed Drug Eruption Due to Tinidazole
To the Editor:A 50-year-old man presented with a painful ulcer and a burning sensation on the tongue of 2 days’ duration (Figure, A). The ulcer...
Ms. Engelhart is from Harvard Medical School, Boston, Massachusetts. Dr. Segal is from the Division of Dermatology, University of Arizona, Tucson.
The authors report no conflict of interest.
Correspondence: Robert J. Segal, MD, Division of Dermatology, University of Arizona, 3838 N Campbell Ave, Tucson, AZ 85719 (rsegal@deptofmed.arizona.edu).

We suggest that manufacturers consider vanadium-free alloys such as Ti7Al6Nb, which contains niobium instead of vanadium, in their surgical implants,22 and if surgeons have a choice, they should consider using titanium implants with niobium rather than vanadium.10 We suggest that clinicians consider vanadium allergy in patients with Ti6Al4V surgical implants and signs of a hypersensitivity reaction, and include vanadium trichloride 1% when patch testing.
Acknowledgment
The authors would like to thank Nicholas R. Krasnow, PhD (Tucson, Arizona), for his invaluable help coordinating, performing, and interpreting the metal analyses.
To the Editor:A 50-year-old man presented with a painful ulcer and a burning sensation on the tongue of 2 days’ duration (Figure, A). The ulcer...
The reported sensitivity and specificity of enzyme-linked immunosorbent assay (ELISA) for bullous pemphigoid (BP) diagnosis is approximately 87%...
A 32-year-old woman presented with a recurrent painful eruption on the scalp of 1 year's duration. The lesion occurred on the left temporal region...