New-Onset Blistering Eruption in a Young Child

A 7-year-old previously well girl presented to dermatology with a chief complaint of blisters. The family stated that the eruption started 4 weeks previously and that she had been developing 5-6 new itchy blisters per week on the fingers and hands that healed with a scar. On physical examination, there were multiple vesicles, erosions, and scars on the face and hands (Figure 1). The conjunctiva and oral cavity were unaffected. Two biopsies were performed for both histology and direct immunofluorescence.

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