case_images: PMC5726700_01
case_images: Vesicles and blisters overlying an erythematous base
case_images: abd-92-05-s1-0126-g01.jpg
case_images: PMC5726700_01_abd-92-05-s1-0126-g01.jpg
case_images: f1
case_images: On dermatological examination, the patient had vesicles and tense bullae, some ruptured and some serohematic crusts overlying an erythematous base, affecting the whole lower limbs (Figure 1).
case_images: Lesions similar to lichen planus
case_images: abd-92-05-s1-0126-g02.jpg
case_images: PMC5726700_01_abd-92-05-s1-0126-g02.jpg
case_images: f2
case_images: Milia were seen on the extremities and polygonal violaceous papules on the upper limbs and abdomen, resembling lichen planus, and nail dystrophy (Figures 2 and 3).
case_images: Nail dystrophy
case_images: abd-92-05-s1-0126-g03.jpg
case_images: PMC5726700_01_abd-92-05-s1-0126-g03.jpg
case_images: f3
case_images: Milia were seen on the extremities and polygonal violaceous papules on the upper limbs and abdomen, resembling lichen planus, and nail dystrophy (Figures 2 and 3).
case_images: Histopathology: subepidermal cleavage (PAS; X100)
case_images: abd-92-05-s1-0126-g04.jpg
case_images: PMC5726700_01_abd-92-05-s1-0126-g04.jpg
case_images: f4
case_images: Histopathology of an erythematous papule of the forearm demonstrated the presence of a subepidermal bullous dermatitis and the immunomapping was consistent with dominant dystrophic epidermolysis bullosa (Figure 4).