PMC6547174_01
Skin findings. Tense bullae and hemorrhagic crusting erosions with scarring
on dorsum of both hands.
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PMC6547174_01_10.1177_2324709619852769-fig1.jpg
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Dermatology examination revealed vesicles and bullae with erythematous bases, in different stages of healing seen over the dorsal aspects of the both hands with scaling, scarring, and hypopigmentation and hyperpigmentation of the skin (Figure 1).
Pathology findings. Hematoxylin and eosin (H&E) demonstrating a cell-poor
subepidermal blister (4x). (B) H&E demonstrating festooning (40x). (C)
Diastase periodic acid-Schiff (PAS) stain highlighting perivascular PAS
positive deposition within superficial dermis (10x).
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PMC6547174_01_10.1177_2324709619852769-fig2.jpg
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Periodic acid-Schiff stain (PAS) with diastase highlighted increased PAS+ deposition around vessel walls and focal PAS+ deposits within the epidermis (Figure 2).