“…The histopathologic examination of a skin sample showed slight hyperkeratosis with focal parakeratosis, focal acanthosis, segmentary hypogranulosis and areas urticaria, candidiasis, edema, herpes zoster, infections, and pruritus are some other conditions that have been described in association with tiotropium bromide [2] . Pham and Saurat [3] recently reported a case of subacute cutaneous lupus erythematosus due to tiotropium bromide.…”