A 20-year-old woman presented with a 2-day history of multiple, painful, fluid-filled lesions resembling a bunch of grapes over her lower abdomen and back. She is a known case of autoimmune hemolytic anemia -Evans syndrome -receiving oral prednisolone for last 1 year. Cutaneous examination revealed closely grouped hemorrhagic bullae and vesicles over her left twelfth thoracic and first two lumbar dermatomal segments [Figures 1a-c]. Blood biochemistry revealed platelet count-2000/mm 3 ,
Images in Clinical PracticeFigure 1a: Multiple hemorrhagic bullae and vesicles over the left abdomen and pelvic region
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