PMC7364792_01
Initial presentation on arrival to the emergency room.
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Skin examination revealed widespread erythematous papules coalescing into dusky annular plaques with central erosions, distributed on the trunk and extremities (Figure 1).
Peripheral sheet-like detachment and desquamation on follow-up the next day.
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However, peripheral sheet-like detachment and desquamation involving 30% of her body surface area were observed, with positive Nikolsky sign (Figure 2).
Skin biopsy with prominent epidermal vacuolar degeneration and extensive epidermal necrosis with minimal superficial perivascular dermal lymphocytic infiltrates without eosinophils.
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A skin biopsy revealed prominent epidermal necrosis with minimal superficial perivascular lymphocytic infiltrates without eosinophils (Figure 3).
Remaining post-inflammatory hyperpigmentation on 1-month follow-up.
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Cutaneous symptoms improved remarkably within a week and on 1-month follow-up, the eroded skin had completely healed, with remaining post- inflammatory hyperpigmentation (Figure 4).