PMC9148264_01
Painful papules and small blisters are distributed in clusters on the basis of flaky erythema, arranged in a band from the left abdomen (A) to the back (B), and on the right from the chest (C) extending in a band to the axillae (D) and back. Black dotted crusts of ink are scattered on the erythema, and black ink spots are painted around the rash (folklore "circling method", using ink circles around the lesions).
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Dermatological conditions included the following: lesions on the left side of the waist and abdomen (Figure 1A) and posterior back (Figure 1B), on the right side of the chest (Figure 1C), axillae (Figure 1D), and posterior back, with clusters of red papules and small blisters the size of small rice grain on a base of flaky erythema, with the rash distributed in strips along the intercostal nerves.