Man With Bulging Blisters

A 54-year-old Hispanic man presented with a generalized pruritic and blistering rash for 8 days, involving his face, oral cavity, neck, torso, back, upper extremities, and groin (Figures 1 and 2). He denied fever, and vital signs were within normal limits. Physical examination was notable for diffuse and symmetric, variably sized, tense bullae over the affected areas and intertriginous folds, with negative Nikolsky's sign (Figure 3). Oral mucosa was moist, with tender erosive ulcers involving the hard palate and gingiva (Figure 4).

http://ift.tt/2kJf9pG