case_images: PMC11418306_01
case_images: Image of ruptured bullae in the lower limbs.
case_images: 10.1177_2050313X241279726-fig1.jpg
case_images: PMC11418306_01_10.1177_2050313X241279726-fig1.jpg
case_images: fig1-2050313X241279726
case_images: Dermatological examination revealed tense bullae and erosions on urticarial plaques present on all four limbs (figure 1-2), neck, trunk, and back.
case_images: Image of ruptured bullae of the upper limbs.
case_images: 10.1177_2050313X241279726-fig2.jpg
case_images: PMC11418306_01_10.1177_2050313X241279726-fig2.jpg
case_images: fig2-2050313X241279726
case_images: Dermatological examination revealed tense bullae and erosions on urticarial plaques present on all four limbs (figure 1-2), neck, trunk, and back.
case_images: Blood blisters on the upper esophagus seen on withdrawal.
case_images: 10.1177_2050313X241279726-fig3.jpg
case_images: PMC11418306_01_10.1177_2050313X241279726-fig3.jpg
case_images: fig3-2050313X241279726
case_images: However, upon removal of the endoscope, a 3 cm hiatal hernia was discovered along with grade-C esophagitis according to the Los Angeles classification.   In the upper two-thirds of the esophagus, two hemorrhagic bullae (figure 3-4) with linear ulcerations (figure 5) and an appearance of sloughing mucosa (figure 6) (after esophageal biopsies were taken) were observed, suggesting BP involvement of the upper digestive tract.
case_images: Blood blisters on the upper esophagus seen on withdrawal.
case_images: 10.1177_2050313X241279726-fig4.jpg
case_images: PMC11418306_01_10.1177_2050313X241279726-fig4.jpg
case_images: fig4-2050313X241279726
case_images: However, upon removal of the endoscope, a 3 cm hiatal hernia was discovered along with grade-C esophagitis according to the Los Angeles classification.   In the upper two-thirds of the esophagus, two hemorrhagic bullae (figure 3-4) with linear ulcerations (figure 5) and an appearance of sloughing mucosa (figure 6) (after esophageal biopsies were taken) were observed, suggesting BP involvement of the upper digestive tract.
case_images: Linear ulceration of the upper third of esophagus.
case_images: 10.1177_2050313X241279726-fig5.jpg
case_images: PMC11418306_01_10.1177_2050313X241279726-fig5.jpg
case_images: fig5-2050313X241279726
case_images: However, upon removal of the endoscope, a 3 cm hiatal hernia was discovered along with grade-C esophagitis according to the Los Angeles classification.   In the upper two-thirds of the esophagus, two hemorrhagic bullae (figure 3-4) with linear ulcerations (figure 5) and an appearance of sloughing mucosa (figure 6) (after esophageal biopsies were taken) were observed, suggesting BP involvement of the upper digestive tract.
case_images: Endoscopic view of mucosal sloughing after performing biopsies.
case_images: 10.1177_2050313X241279726-fig6.jpg
case_images: PMC11418306_01_10.1177_2050313X241279726-fig6.jpg
case_images: fig6-2050313X241279726
case_images: However, upon removal of the endoscope, a 3 cm hiatal hernia was discovered along with grade-C esophagitis according to the Los Angeles classification.   In the upper two-thirds of the esophagus, two hemorrhagic bullae (figure 3-4) with linear ulcerations (figure 5) and an appearance of sloughing mucosa (figure 6) (after esophageal biopsies were taken) were observed, suggesting BP involvement of the upper digestive tract.