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CPT Thomas W. McGovern, MC; COL Scott D. Bennion, MC

Arch Dermatol. 1997;133(4):504.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A 65-year-old white woman with a 2-year history of limited scleroderma with interstitial lung disease was sent by the rheumatology clinic for the evaluation of increasing numbers of pruritic blistering lesions that had been forming on her face, neck, and trunk for 3 weeks. These lesions ruptured within hours after formation. The patient was taking multiple medications for the treatment of her limited scleroderma (CREST syndrome), interstitial lung disease, keratoconjunctivitis sicca, and hypertension.

On physical examination, the patient demonstrated multiple 3- to 10-mm scaling and erythematous erosions on her forehead (Figure 1), chest (Figure 2), neck, and upper back area. Her mucous membranes were free of lesions. Scattered telangiectases and distal phalangeal sclerodactyly were noted on both hands. The patient had a positive Nikolsky sign on clinically uninvolved skin of the presternal region.

Histopathologic sections of a scaly, erythematous erosion from the neck are shown in . . . [Full Text PDF of this Article]

Author Affiliations
USA; USA; Fitzsimons Army Medical Center, Aurora, Colo

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