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Four days later he developed multiple new flaccid bullae adjacent to the preexisting lesions along the same dermatome with a positive Nikolsky sign (Figure 1).
Generalized rash involving more than 50% of body surface area with extensive skin peeling, multiple flaccid blisters, positive Nikolsky sign, involvement of multiple mucosae with minimal involvement of extremities, with flaccid blisters at finger tips, but no target leasons over the body.
The rash is characterized by sudden onset and generalization within 24 to 48 hours and positive Nikolsky sign (Denudation of skin with gentle tangential pressure) present only in areas of erythema.