PMC4809438_01
Scattered erosions, crusts and tense bullae on the right superior anterolateral chest and axilla (A) and left upper arm and shoulder (B) 4 months after contracting HFMD.
gr1.jpg
PMC4809438_01_gr1.jpg
fig1
He presented to our dermatology clinic with his post-CVA6-induced flare, at which time his physical examination found 40% to 50% of his body surface area covered with tense bullae, erosions, and crust located on his face, neck, chest, abdomen, back, buttocks, genitalia, and bilateral upper and lower extremities, with sparing of the oral mucosa (Fig 1, A and B).
Postinflammatory hypopigmentation with patches of erythema and scattered milia on the left arm 6 months after initiating rituximab.
gr2.jpg
PMC4809438_01_gr2.jpg
fig2
He currently remains asymptomatic with downward trending BP titers with a maintenance regimen of prednisone, 10-mg tablet orally daily, mycophenolate mofetil, 500-mg tablet orally twice a day, and doxycycline, 100-mg tablet orally daily (Figs 2 and 3).
Patient's IgG BP antibody level (units) throughout course of treatment. Significant downward trending of his BP titers is noted. M, Months.
gr3.jpg
PMC4809438_01_gr3.jpg
fig3
He currently remains asymptomatic with downward trending BP titers with a maintenance regimen of prednisone, 10-mg tablet orally daily, mycophenolate mofetil, 500-mg tablet orally twice a day, and doxycycline, 100-mg tablet orally daily (Figs 2 and 3).