case_images: PMC4066599_01
case_images: Clinical photograph showing multiple erosions with crusts and scars over the dorsum of both hands
case_images: IJSTD-35-49-g001.jpg
case_images: PMC4066599_01_IJSTD-35-49-g001.jpg
case_images: F1
case_images: Physical examination revealed multiple erosions with crusts, scars over the dorsum of both hands [Figure 1] and face.
case_images: Minimal hypertrichosis and erosions with crusts over the left side of the face
case_images: IJSTD-35-49-g002.jpg
case_images: PMC4066599_01_IJSTD-35-49-g002.jpg
case_images: F2
case_images: Minimal hypertrichosis of the face was present [Figure 2].
case_images: Bright pink fluorescence on woods lamp examination
case_images: IJSTD-35-49-g003.jpg
case_images: PMC4066599_01_IJSTD-35-49-g003.jpg
case_images: F3
case_images: Examination of urine under Wood's light revealed a bright pink fluorescence consistent with the presence of porphyrins [Figure 3].
case_images: A pauci-inflammatory subepidermal bulla with hemorrhage and periodic acid-Schiff (PAS) positive material around dermal capillaries. The floor of the bulla shows preserved dermal papillae (PAS magnification, x10)
case_images: IJSTD-35-49-g004.jpg
case_images: PMC4066599_01_IJSTD-35-49-g004.jpg
case_images: F4
case_images: There was deposition of periodic acid-Schiff (PAS) stained material around the dermal capillary blood vessels [Figure 4].
case_images: Resolution of the erosions over the dorsum of both hands
case_images: IJSTD-35-49-g005.jpg
case_images: PMC4066599_01_IJSTD-35-49-g005.jpg
case_images: F5
case_images: Three months following the initiation of treatment, there was clinical remission of the skin lesions [Figure 5] with a CD4 count of 232 cells/mm3.