History A 33-year-old woman presents with a sudden-onset blistering rash on her legs. On detailed questioning, she reports no recent history of travel or contact with animals. She recently moved into new accommodation and has been clearing an overgrown garden over the past few days. She has been clearing weeds by hand but wore garden gloves and borrowed a strimmer from a friend to cut through the long grass. She felt an intense itching on her lower legs and then noticed blisters in a streaking pattern.
She has no previous history of skin disease or atopy and is otherwise well. Examination Linear vesicular lesions with associated erythema and excoriations are seen on her legs (Image). There are tense bullae filled with clear serous fluid. Full skin examination is otherwise unremarkable including mucosal membranes. *This image-based case is from Docplexus Editorial Team for educative…
