case_images: PMC10899118_01
case_images: Dorsal surface of the patient's right hand showing desquamative lesions.
case_images: cureus-0016-00000053122-i01.jpg
case_images: PMC10899118_01_cureus-0016-00000053122-i01.jpg
case_images: FIG1
case_images: It started on the inner thighs and rapidly progressed to involve the skin of the dorsal surface of both hands (Figure 1) and the oral mucosa.
case_images: Histopathology of the patient's skin biopsy (H&E stain). There is evidence of necrosis of keratinocytes in the epidermis and lymphocyte infiltrates in the papillary dermis (arrows).
case_images: cureus-0016-00000053122-i02.jpg
case_images: PMC10899118_01_cureus-0016-00000053122-i02.jpg
case_images: FIG2
case_images: The papillary dermis showed edema and perivascular inflammatory infiltrate consisting of lymphocytes, histiocytes, and eosinophils (Figure 2).