case_images: PMC3263577_01
case_images: (a) Erosive plaque on the arm in pemphigus herpetiformis. (b) Arciform pattern of postbullous lesion in pemphigus herpetiformis.
case_images: PEDIATRICS2011-712560.001.jpg
case_images: PMC3263577_01_PEDIATRICS2011-712560.001.jpg
case_images: fig1
case_images: On examination, we observed vesicular, bullous lesions, some having clear contents and some being purulent with erosive arciform plaques and crusted lesions (Figures 1(a) and 1(b)).
case_images: Histopathologic features. Intraepidermal bulla filled with neutrophils and numerous eosinophils. Single acantholytic cells are seen. Lower epidermis: eosinophilic spongiosis (HE x40) Intraepidermal bulla filled with neutrophils and eosinophils, characteristic of eosinophilic spongiosis (HE x200)
case_images: PEDIATRICS2011-712560.002.jpg
case_images: PMC3263577_01_PEDIATRICS2011-712560.002.jpg
case_images: fig2
case_images: The superticia1 and reticular dermis had an inflammatory infiltrate of eosinophile and neutrophile around some of the blood vessels (Figures 2(a) and 2(b)).
case_images: (a, b) Direct immunofluorescence. IgG and C3 cell surface deposits throughout the whole epidermis.
case_images: PEDIATRICS2011-712560.003.jpg
case_images: PMC3263577_01_PEDIATRICS2011-712560.003.jpg
case_images: fig3
case_images: IgG and complement C3. IgA intercellular deposits on epidermis were not seen (Figures 3(a) and 3(b)).