PMC3730474_01
Right groin showing multiple excavating ulcers, left groin shows 'Groove sign of Greenblatt' and multiple tense bullae with erosions over thighs and penile shaft
IJSTD-34-41-g001.jpg
PMC3730474_01_IJSTD-34-41-g001.jpg
F1
Examination of the left inguinal region also revealed enlarged, grouped, tender inguinal nodes of size 8 x 6 cm present both above and below the inguinal ligament giving the appearance of "Groove sign of Greenblatt" [Figure 1]. Multiple tense bullae filled with clear fluid and erosions were present over upper limbs, lower limbs [Figure 1], and trunk.
H and E section of penile growth shows ulcerated hyperplastic epidermis with severe dysplasia. The dysplastic epithelial cells are seen to invade the basement membrane
IJSTD-34-41-g002.jpg
PMC3730474_01_IJSTD-34-41-g002.jpg
F2
SCC of penis [Figure 2]. Skin biopsy taken from a tense bulla over the trunk, showed a sub epidermal bulla with mild lymphocytic infiltrate in the upper dermis consistent with BP.