A 61 years old male was referred from pulmonary medicine department with 2- week history of acneiform lesions over face and upper back, with associated complaints of pain in proximal nail folds of both great toes and left middle finger with purulent discharge and generalized pruritus. Historically, patient was diagnosed case of advanced non-small cell lung carcinoma (NSCLC) receiving gefitinib 250 mg once daily past 1 month. Patient had received six cycles of chemotherapy and was not taking any other medication.
