case_images: PMC7364792_01
case_images: Initial presentation on arrival to the emergency room.
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case_images: Skin examination revealed widespread erythematous papules coalescing into dusky annular plaques with central erosions, distributed on the trunk and extremities (Figure 1).
case_images: Peripheral sheet-like detachment and desquamation on follow-up the next day.
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case_images: However, peripheral sheet-like detachment and desquamation involving 30% of her body surface area were observed, with positive Nikolsky sign (Figure 2).
case_images: Skin biopsy with prominent epidermal vacuolar degeneration and extensive epidermal necrosis with minimal superficial perivascular dermal lymphocytic infiltrates without eosinophils.
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case_images: A skin biopsy revealed prominent epidermal necrosis with minimal superficial perivascular lymphocytic infiltrates without eosinophils (Figure 3).
case_images: Remaining post-inflammatory hyperpigmentation on 1-month follow-up.
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case_images: Cutaneous symptoms improved remarkably within a week and on 1-month follow-up, the eroded skin had completely healed, with remaining post- inflammatory hyperpigmentation (Figure 4).