A 58-year-old male patient presented to the dermatology clinic at West China Hospital of Sichuan University (Chengdu, Sichuan Province, China) in July, 2023, with vesicles, bullae, and erythematous papules distributed across his neck, trunk, and limbs (figure, A). These lesions had progressively developed over the course of 1 month, accompanied by the onset of fever within the past 4 days. Physical examination revealed scattered erythematous papules distributed on the neck, trunk, and limbs, with firm oedematous erythema on the neck and back.

In a landmark judgement, the European Court of Human Rights (ECHR) has ruled that Italy is not protecting the right to life of 2·9 million people living in the southern provinces of Caserta and Naples. The ruling relates to the illegal dumping, burial, and burning of millions of tonnes of waste, including toxic and carcinogenic material, stretching back to at least the early 1980s. The affected area, which is made up of 90 municipalities, has become known as the Terra dei Fuochi (Land of Fires).