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A 45-year-old woman presented with recurrent fluid-filled blisters over hands, feet, forearm and face for the last 5 years. Blisters ruptured with minor trauma or spontaneously after 6–7 days. Lesions aggravated on exposure to sunlight. There was a history of dark-coloured urine. Clinical examination revealed multiple well-defined superficial moist erosions over dorsal aspect of hands, feet, forearm and face healing with postinflammatory hypopigmentation along with scars. Additionally, she had hypertrichosis and melisma-like pigmentation over the face (figure 1A–C).
Skin biopsy …
Contributors AG, KJ and MSK had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis and were responsible for the study concept and design. AG and KJ drafted the manuscript. BDR and MSK contributed to the critical revision of the manuscript for important intellectual content and supervised the study. All authors contributed to the acquisition, analysis and interpretation of data.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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