case_images: PMC10868509_01
case_images: Clinical photograph at initial presentation, which demonstrates the striking photo-accentuation of the eruption. Coalescing erythematous patches and plaques on the arms and upper chest are seen with sharp demarcation at areas previously covered by the patient's clothing. Scattered small papules are noted on the photoprotected sites.
case_images: 10.1177_2050313X241231526-fig1.jpg
case_images: PMC10868509_01_10.1177_2050313X241231526-fig1.jpg
case_images: fig1-2050313X241231526
case_images: On examination, erythematous papules and plaques were noted diffusely on the trunk and extremities with clusters of small, non-follicular pustules on the arms and chest in a photodistributed pattern with sharp demarcation at areas covered by clothing (Figures 1-3).
case_images: Clinical photograph showing diffuse coalescing erythematous papules and plaques diffusely on the anterior thighs and shin, sparing the feet and ankles previously covered by socks and shoes.
case_images: 10.1177_2050313X241231526-fig2.jpg
case_images: PMC10868509_01_10.1177_2050313X241231526-fig2.jpg
case_images: fig2-2050313X241231526
case_images: On examination, erythematous papules and plaques were noted diffusely on the trunk and extremities with clusters of small, non-follicular pustules on the arms and chest in a photodistributed pattern with sharp demarcation at areas covered by clothing (Figures 1-3).
case_images: Two-panel photograph of bilateral proximal arms showing large, erythematous plaques studded with numerous pustules.
case_images: 10.1177_2050313X241231526-fig3.jpg
case_images: PMC10868509_01_10.1177_2050313X241231526-fig3.jpg
case_images: fig3-2050313X241231526
case_images: On examination, erythematous papules and plaques were noted diffusely on the trunk and extremities with clusters of small, non-follicular pustules on the arms and chest in a photodistributed pattern with sharp demarcation at areas covered by clothing (Figures 1-3).
case_images: Punch biopsy of skin (hematoxylin and eosin stain, 4x magnification) shows epidermal acanthosis and spongiosis with a mixed dermal inflammatory infiltrate containing eosinophils and neutrophils.
case_images: 10.1177_2050313X241231526-fig4.jpg
case_images: PMC10868509_01_10.1177_2050313X241231526-fig4.jpg
case_images: fig4-2050313X241231526
case_images: Biopsy showed epidermal acanthosis and spongiosis with subcorneal pustules and dense dermal inflammation with eosinophils and neutrophils (Figures 4 and 5).
case_images: Higher magnification of the histology specimen (hematoxylin and eosin stain, 10x magnification) demonstrates a spongiotic epidermis with subcorneal neutrophilic abscesses.
case_images: 10.1177_2050313X241231526-fig5.jpg
case_images: PMC10868509_01_10.1177_2050313X241231526-fig5.jpg
case_images: fig5-2050313X241231526
case_images: Biopsy showed epidermal acanthosis and spongiosis with subcorneal pustules and dense dermal inflammation with eosinophils and neutrophils (Figures 4 and 5).