case_images: PMC10285345_01
case_images: Appearance of the hands showing extensive erosions and intact blisters.
case_images: f1000research-11-136191-g0000.jpg
case_images: PMC10285345_01_f1000research-11-136191-g0000.jpg
case_images: f1
case_images: Examination revealed intact blisters alongside numerous erosions over the hands and elbows and milia on inspection of the left hand ( Figure 1).
case_images: Punch biopsy of right hand demonstrating a sub-epidermal blister with festooning of dermal papilla and with adjacent epidermal hyperplasia with hypergranulosis.. In the superficial dermis there are some thick-walled blood vessels, which stain for Periodic acid-Schiff (PAS). In the upper dermis there is a sparse lymphocytic infiltrate.
case_images: f1000research-11-136191-g0001.jpg
case_images: PMC10285345_01_f1000research-11-136191-g0001.jpg
case_images: f2
case_images: Histopathology revealed an intact sub-epidermal blister with minimal dermal inflammation ( Figure 2).