PMC5726700_01
Vesicles and blisters overlying an erythematous base
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f1
On dermatological examination, the patient had vesicles and tense bullae, some ruptured and some serohematic crusts overlying an erythematous base, affecting the whole lower limbs (Figure 1).
Lesions similar to lichen planus
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f2
Milia were seen on the extremities and polygonal violaceous papules on the upper limbs and abdomen, resembling lichen planus, and nail dystrophy (Figures 2 and 3).
Nail dystrophy
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f3
Milia were seen on the extremities and polygonal violaceous papules on the upper limbs and abdomen, resembling lichen planus, and nail dystrophy (Figures 2 and 3).
Histopathology: subepidermal cleavage (PAS; X100)
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f4
Histopathology of an erythematous papule of the forearm demonstrated the presence of a subepidermal bullous dermatitis and the immunomapping was consistent with dominant dystrophic epidermolysis bullosa (Figure 4).