PMC9897714_01
Lesions on the bilateral dorsal feet. Bullous skin lesions in various stages of healing are seen on bilateral dorsal feet, sparing the soles.
cureus-0015-00000033448-i01.jpg
PMC9897714_01_cureus-0015-00000033448-i01.jpg
FIG1
Over the next few days, bullous lesions clustered in the classical pattern of a "string of pearls," as demonstrated in Figures 1-6.
Lesions on the left upper extremity and dorsal hand. Vesicular and bullous skin lesions in various stages of healing are demonstrated on the left upper extremity and dorsal hand, sparing the palm.
cureus-0015-00000033448-i02.jpg
PMC9897714_01_cureus-0015-00000033448-i02.jpg
FIG2
Over the next few days, bullous lesions clustered in the classical pattern of a "string of pearls," as demonstrated in Figures 1-6.
Lesions on the right neck, shoulder, and chest. Bullous skin lesions on the right shoulder, right neck, and chest in various stages of healing.
cureus-0015-00000033448-i03.jpg
PMC9897714_01_cureus-0015-00000033448-i03.jpg
FIG3
Over the next few days, bullous lesions clustered in the classical pattern of a "string of pearls," as demonstrated in Figures 1-6.
Lesions on the chest. Healing and active bullous skin lesions are seen on the chest.
cureus-0015-00000033448-i04.jpg
PMC9897714_01_cureus-0015-00000033448-i04.jpg
FIG4
Over the next few days, bullous lesions clustered in the classical pattern of a "string of pearls," as demonstrated in Figures 1-6.
Lesions on the back and posterior neck with a "string of pearls" sign. Active and healing bullous lesions on the back and neck coalesce to form annular rings known as the "string of pearls" sign.
cureus-0015-00000033448-i05.jpg
PMC9897714_01_cureus-0015-00000033448-i05.jpg
FIG5
Over the next few days, bullous lesions clustered in the classical pattern of a "string of pearls," as demonstrated in Figures 1-6.
Close-up of the "string of pearls" sign from lesions on the back
cureus-0015-00000033448-i06.jpg
PMC9897714_01_cureus-0015-00000033448-i06.jpg
FIG6
Over the next few days, bullous lesions clustered in the classical pattern of a "string of pearls," as demonstrated in Figures 1-6.
Duodenal bulb erosion found on esophagogastroduodenoscopy (EGD). On EGD, erosion without any signs of bleeding was found in the duodenal bulb, as depicted above and best seen in the upper third of the figure.
cureus-0015-00000033448-i07.jpg
PMC9897714_01_cureus-0015-00000033448-i07.jpg
FIG7
The patient underwent esophagogastroduodenoscopy (EGD) and colonoscopy; EGD revealed a non-bleeding duodenal erosion, and duodenal biopsies were taken (Figure 7).
Active ulcerative colitis in the descending colon was found on colonoscopy. The colonoscopy revealed a Mayo Score of 2 and active ulcerative colitis in the descending colon.
cureus-0015-00000033448-i08.jpg
PMC9897714_01_cureus-0015-00000033448-i08.jpg
FIG8
Colonoscopy revealed moderately active (Mayo Score 2), left-sided ulcerative colitis with random colonic biopsies taken (Figures 8, 9).
Active ulcerative colitis in the rectum was found on colonoscopy. The colonoscopy revealed a Mayo Score of 2 and active ulcerative colitis in the rectum. Erythema can be seen in the center of the figure.
cureus-0015-00000033448-i09.jpg
PMC9897714_01_cureus-0015-00000033448-i09.jpg
FIG9
Colonoscopy revealed moderately active (Mayo Score 2), left-sided ulcerative colitis with random colonic biopsies taken (Figures 8, 9).