case_images: PMC3357022_01
case_images: Depigmentation with scarring alopecia of the scalp
case_images: JISP-16-126-g001.jpg
case_images: PMC3357022_01_JISP-16-126-g001.jpg
case_images: F1
case_images: On extra oral examination, she had some obvious skin lesions on the scalp which appeared as depigmented scarring alopecia of the scalp [Figure 1].
case_images: Hyperkeratotic plaque present on the posterior auricle of the left ear
case_images: JISP-16-126-g002.jpg
case_images: PMC3357022_01_JISP-16-126-g002.jpg
case_images: F2
case_images: She also had a hyperkeratotic plaque behind her left ear [Figure 2].
case_images: Desquamation of the gingiva -maxillary and mandibular anterior region
case_images: JISP-16-126-g003.jpg
case_images: PMC3357022_01_JISP-16-126-g003.jpg
case_images: F3
case_images: Intra oral examination of gingiva revealed reddish marginal, attached gingiva and interdental papilla in both maxillary and mandibular anterior region [Figure 3].
case_images: Desquamation present - palatal
case_images: JISP-16-126-g004.jpg
case_images: PMC3357022_01_JISP-16-126-g004.jpg
case_images: F4
case_images: Nikolsky's sign was positive [Figures 4-6].
case_images: Desquamation present - lingual
case_images: JISP-16-126-g005.jpg
case_images: PMC3357022_01_JISP-16-126-g005.jpg
case_images: F5
case_images: Nikolsky's sign was positive [Figures 4-6].
case_images: Nikolsky's sign - positive
case_images: JISP-16-126-g006.jpg
case_images: PMC3357022_01_JISP-16-126-g006.jpg
case_images: F6
case_images: Nikolsky's sign was positive [Figures 4-6].
case_images: H and E section
case_images: JISP-16-126-g007.jpg
case_images: PMC3357022_01_JISP-16-126-g007.jpg
case_images: F7
case_images: The connective tissue showed dense inflammatory infiltrate beneath the basement membrane chiefly composed of lymphocytes [Figure 7].