Facial erosions and scalp lesions in a middle-aged man
A 55-year-old man reported a several-week history of crusted scalp lesions and red facial erosions accompanied by an irritated, burning sensation. He did not recall any pre-erosion blisters. An examination was otherwise normal, including clear mucous membranes. Punch biopsy revealed an epidermis that was superficially denuded just below the granular layer. Direct immunofluorescence (DIF) of…