PMC3357022_01
Depigmentation with scarring alopecia of the scalp
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F1
On extra oral examination, she had some obvious skin lesions on the scalp which appeared as depigmented scarring alopecia of the scalp [Figure 1].
Hyperkeratotic plaque present on the posterior auricle of the left ear
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F2
She also had a hyperkeratotic plaque behind her left ear [Figure 2].
Desquamation of the gingiva -maxillary and mandibular anterior region
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F3
Intra oral examination of gingiva revealed reddish marginal, attached gingiva and interdental papilla in both maxillary and mandibular anterior region [Figure 3].
Desquamation present - palatal
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F4
Nikolsky's sign was positive [Figures 4-6].
Desquamation present - lingual
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F5
Nikolsky's sign was positive [Figures 4-6].
Nikolsky's sign - positive
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F6
Nikolsky's sign was positive [Figures 4-6].
H and E section
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F7
The connective tissue showed dense inflammatory infiltrate beneath the basement membrane chiefly composed of lymphocytes [Figure 7].