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. 2018 Jul 23;4(2):2055116918786598. doi: 10.1177/2055116918786598

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© The Author(s) 2018

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

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(a) Hematoxylin and eosin photomicrograph (× 10) revealing abrupt transition from severe epidermal hyperplasia, orthokeratotic hyperkeratosis and focal parakeratosis to ulceration covered with fibrinonecrotic exudate. Moderate perivascular-to-interstitial dermal inflammation and edema. (b) Hematoxylin and eosin photomicrograph (× 20) showing multiple individualized apoptotic/dyskeratotic keratinocytes present in the stratum granulosum. Mild perivascular to interstitial dermal inflammation. There is no lymphocyte satellitosis