case_images: PMC11233066_01
case_images: Arrow highlights a single acantholytic cell in the smear
case_images: IJSTD-45-62-g001.jpg
case_images: PMC11233066_01_IJSTD-45-62-g001.jpg
case_images: ijstd_14_24-f001
case_images: Tzank smear made from the fresh erosions revealed the presence of acantholytic cells [Figure 1].
case_images: Direct immunofluorescence showing immunoglobulin G and C3 deposits in intercellular spaces of epidermis
case_images: IJSTD-45-62-g002.jpg
case_images: PMC11233066_01_IJSTD-45-62-g002.jpg
case_images: ijstd_14_24-f002
case_images: Direct immunofluorescence showed immunoglobulin G (IgG) and C3 deposits in intercellular spaces of the epidermis [Figure 2].
case_images: (a and b) Erosio-crusted plaques coalesced to involve more than 90% of body surface area
case_images: IJSTD-45-62-g003.jpg
case_images: PMC11233066_01_IJSTD-45-62-g003.jpg
case_images: ijstd_14_24-f003
case_images: The patient presented 20 days later with extensive erosiocrustive plaques involving more than 90% of the body surface area predominantly involving the face (periocular and perioral area), neck, chest, groin, and buttocks [Figure 3a and b].