Dermatologic Physical Exam

Primary Lesions

1. A sharply demarcated macule or plaque, color initially pink but rapidly becoming dusky violet or violet-brown (see Photos 23,24).

2. Surface vesicles or bullae. Bullae may be so large as to obscure the underlying inflammatory macule or plaque (see Photo 25).

Secondary Lesions

1. Moist erosions as bullae separate.

2. Deep dusky brown or gray-brown hyperpigmentation that persists (see Photo 26).

Distribution

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