Athena: Speciality Certificate Examination case for Dermatopathology.

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A 43-year-old Taiwanese man presented to the emergency department after developing flaccid oral and genital blisters, after 2 weeks of a widespread generalised erythematous macular rash. He reports conjunctivitis and is Nikolsky positive. He was recently started on lamotrigine. His sister also had a similar problem last year. Toxic epidermal necrolysis (TEN) is suspected.

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Authors: R Sheppeard, F Dubash, J Cooke