Interactive Case Study - October 2014

Painful mucocutaneous eruption in a middle-aged man

John R. Griffin, MD; Jacqueline M. Junkins-Hopkins, MD

Clinical history: A 49-year-old man was evaluated for diffuse oral mucositis and polymorphic cutaneous eruption. Biopsy from a skin lesion is shown in Figures 1 and 2.

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Figure 1.

Figure 2.

vsl.asdp.org/dih/webViewer.php?snapshotId=14338873507680

Which of the following is the most likely explanation for these findings?

A.	Erythema multiforme

B.	Galli-Galli disease

C.	Lichen planus

D.	Paraneoplastic pemphigus

E.	Pemphigus erythematosus