case_images: PMC11830613_01
case_images: Multiple areas of ulceration on the patient's shoulders, buttocks, and lower limbs on the day of admission, with new blister formation on the lower limbs.
case_images: fmed-12-1527051-g001.jpg
case_images: PMC11830613_01_fmed-12-1527051-g001.jpg
case_images: F1
case_images: Skin ulcerations and pain on his shoulders, buttocks, and lower limbs became more severe, and new blisters developed on his left ankle and right lower limb within a short period (Figure 1). A positive Nikolsky sign was observed, with the total affected area exceeding 30% (Figure 1).
case_images: Changes in Methylprednisolone (mg/d) and Intravenous Immunoglobulin (g/d) Doses.
case_images: fmed-12-1527051-g002.jpg
case_images: PMC11830613_01_fmed-12-1527051-g002.jpg
case_images: F2
case_images: Upon admission, the causative drugs (moxifloxacin and clindamycin) were immediately discontinued, and high-dose methylprednisolone (600 mg) was initiated as shock therapy (Figure 2), with the dose tapered to 120 mg/day on the second day.