By Erin Reese and Julia R. Nunley, MD

All articles by By Erin Reese and Julia R. Nunley, MD

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…

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