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A 5-year-old 22.7-kg (49.9-lb) spayed female Boxer cross was presented to a primary care veterinarian for evaluation of multiple dermal nodules on both pinnae (Figure 1) Approximately 2 weeks earlier, the dog had been examined because of a suspected interdigital foreign body on the left forelimb. Sterile exploration of the lesion revealed no foreign material. Cephalexin (22 mg/kg [10 mg/lb], PO, q 12 h for 10 days) was prescribed. The dermal nodules began emerging several days after initiation of cephalexin administration. The dog was also maintained on diphenhydramine (2.2 mg/kg [1 mg/lb], PO, q 8 to 12

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in Journal of the American Veterinary Medical Association