PMC4960340_01
(a) Confluent maculopapular exanthema and bullae and skin erosions of the back. (b) Toxic epidermal necrolysis-like lesions of the anterior chest and neck with bacterial superinfection.
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fig1
The erythema had spread to the extremities with a dark red, confluent maculopapular exanthema, and bullae and denudation of the epidermis in large patches of the back were now observed (Figure 1(a)). After 3 weeks, high fever recurred, erythroderma with small pustules on the trunk and extremities was observed, and he developed TEN-like lesions of 10% of body surface area (Figure 1(b)), mostly the back and nates.
Toxic epidermal necrolysis-like lesion with full thickness necrosis of the epidermis and pigment incontinence (H&E x40).
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fig2
Skin biopsy was consistent with TEN-like lesions, showing full thickness necrosis of the epidermis and pigment incontinence (Figure 2).