PMC9554210_01
Morbiliform rash and blanching erythema on the back.
fonc-12-954027-g001.jpg
PMC9554210_01_fonc-12-954027-g001.jpg
f1
Physical exam was notable for exudative and hemorrhagic sloughing of the lips and buccal mucosa and morbilliform and blanching erythema on the trunk with a superficial erosion on the chest ( Figures 1 - 3 ).
Morbilliform rash and blanching erythema on the trunk.
fonc-12-954027-g002.jpg
PMC9554210_01_fonc-12-954027-g002.jpg
f2
Physical exam was notable for exudative and hemorrhagic sloughing of the lips and buccal mucosa and morbilliform and blanching erythema on the trunk with a superficial erosion on the chest ( Figures 1 - 3 ).
morbiliform rash Exudative and hemorrhagic sloughing of the lips and buccal mucosa.
fonc-12-954027-g003.jpg
PMC9554210_01_fonc-12-954027-g003.jpg
f3
Physical exam was notable for exudative and hemorrhagic sloughing of the lips and buccal mucosa and morbilliform and blanching erythema on the trunk with a superficial erosion on the chest ( Figures 1 - 3 ).
Punch biopsy pathology showing interface dermatitis with basal layer vacuolization, several apoptotic keratinocytes, and a sparse lymphocytic infiltrate.
fonc-12-954027-g004.jpg
PMC9554210_01_fonc-12-954027-g004.jpg
f4
A punch biopsy of the back showed features consistent with mild interface dermatitis with basal layer vacuolization and scattered necrotic keratinocytes consistent with the erythema multiforme spectrum of disorders ( Figure 4 ).
Patient's mouth 11 days after initial presentation.
fonc-12-954027-g005.jpg
PMC9554210_01_fonc-12-954027-g005.jpg
f5
She was started on 1 mg/kg of methylprednisolone daily, and her symptoms improved markedly ( Figures 5 ,  6 ).
Patient's back 11 days after initial presentation.
fonc-12-954027-g006.jpg
PMC9554210_01_fonc-12-954027-g006.jpg
f6
She was started on 1 mg/kg of methylprednisolone daily, and her symptoms improved markedly ( Figures 5 ,  6 ).