case_images: PMC10831273_01
case_images: A, Grouped vesicles primarily on the central abdomen. B, Dermoscopy demonstrating yellow lacunae surrounded by pale septae and vascular structures. C, Hematoxylin and eosin stain of a skin biopsy at 20x magnification demonstrating ectatic lymphatic vessels filled with proteinaceous fluid impinging on and enclosed by the lower epidermis.
case_images: gr1.jpg
case_images: PMC10831273_01_gr1.jpg
case_images: fig1
case_images: On physical examination, there were small, translucent vesicles primarily on the central abdomen (Fig 1, A). The dermoscopic evaluation revealed yellow lacunae surrounded by pale septae and vascular structures (Fig 1, B). These findings are consistent with MLM (Fig 1, C).
case_images: A, B, Grouped pustules with underlying erythema on the patient's central abdomen six weeks after initial presentation.
case_images: gr2.jpg
case_images: PMC10831273_01_gr2.jpg
case_images: fig2
case_images: Her exam revealed grouped pustules with underlying/background erythema at the same locations as her prior translucent vesicles (Fig 2).