case_images: PMC10734355_01
case_images: Initial presentation of the patient's dermatosis on day 1 of hospital admission. Flaccid bullae had burst, leaving exulcerations on the patient's skin.
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case_images: Cutaneous examination revealed additional poorly delimited erosions on his back, abdomen, penis, scrotum, and inguinal and intergluteal folds that affected affecting approximately 20% of body surface area (according to Palmer method of estimation; see Figure 1).
case_images: Histopathology results. A, 20x, Hypergranulosis and the beginning of the subepidermal cleft with pigment deposition, a chronic inflammatory infiltrate of histiocytes and lymphocytes along with extravasation of erythrocytes. B, 40x, Immunohistochemical stain for type IV collagen showing the basement membrane at the bottom of the cleft.
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case_images: These findings are presented in Figure 2.
case_images: Patient recovery at the end of therapy. Photos taken 6 months after hospital discharge.
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case_images: His skin re-epithelialization can be seen in Figure 3.