PMC8313509_01
PMC8313509_02
Dermatologic examination. Appearance of vesicles with an erythematous base scattered on facial region (A-C), anterior and posterior trunk (D and E), upper extremity dextra (F and G) and sinistra (H and I), and dorsum manus (J).
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Dermatologic examination of the facial, anterior and posterior trunk, gluteal, right and left upper extremity, back of the hand, tibial region, femoral region, and soles region found vesicles with erythematous base, and several vesicles were confluent, well-defined, irregular edged, and of varied shape and size (Figures 1 and 2).
Dermatologic examination. Appearance of vesicles and some were confluent into bullae with erythematous base scattered on cruris dextra (A and D), lateral side of femur dextra (C), gluteus (B), and dorsum and plantar pedis dextra (E and F). Appeared striae on lateral side of right femur (C).
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Dermatologic examination of the facial, anterior and posterior trunk, gluteal, right and left upper extremity, back of the hand, tibial region, femoral region, and soles region found vesicles with erythematous base, and several vesicles were confluent, well-defined, irregular edged, and of varied shape and size (Figures 1 and 2). At the right cruris and pedis region, vesicles fused into well-defined bullae with erythematous base with various shapes and sizes (Figure 2C and D).
Tzanck smear. Appearance of MGC () and PMN ().
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However, there were no acantholytic cells (Figure 3).
Follow up at 10th day. Showed hyperpigmented macules and patches on facial region (A-C), anterior (D) and posterior trunk (E), and upper extremity (F-I).
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Dermatologic examination at the facial, anterior and posterior trunk, left and right upper extremity region showed multiple well-defined hyperpigmented macules and patches, irregular in shape, and of varied shape and size (Figure 4).
Follow up at 10th day. Showed hyperpigmented patches and and several sagging bullae, some burst into erosion covered by brownish crust at gluteus (A), lateral side of femur dextra (B), cruris dextra (C), and dorsum and plantar pedis region (D-F).
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Multiple hyperpigmented patches with various shape and size at the gluteal region, right femur, right cruris, dorsum, and plantar pedis region, multiple hyperpigmented patches with varied shape and size, and several sagging bullae burst into erosion covered by a brownish crust (Figure 5).