PMC4782652_01
Brilliant erythematous plaques with extensive superficial erosions on
both heels
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On physical examination, the patient presented with well-defined extensive erosions on both heels; erosive plaques on the buccal mucosa; hyperpigmented lichenoid papules on the groins and back; destruction of the ungueal lamina and dorsal pterygium on her feet (Figures 1 and 2).
Destruction of ungueal lamina, with anonychia and dorsal pterygium on
both feet
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PMC4782652_01_abd-91-01-0084-g02.jpg
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On physical examination, the patient presented with well-defined extensive erosions on both heels; erosive plaques on the buccal mucosa; hyperpigmented lichenoid papules on the groins and back; destruction of the ungueal lamina and dorsal pterygium on her feet (Figures 1 and 2).
Microphotograph showing denuded skin with lymphocytic lichenoid
superficial infiltrates and fibrosis. HE, 100x
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The histopathological study revealed orthoqueratosis, epidermic atrophy, vacuolar degeneration of basal keratinocytes, neutrophil exocytosis, Civatte bodies and dense perivascular superficial infiltrate (Figure 3).