ABSTRACT
A 53-year-old woman presents to accident and emergency with a rapidly progressive, painful skin rash.The rash commenced the previous day with widespread erythema that initially affected the patient’s arms and legs. As the patient had been doing some gardening during the sunny day before, she initially attributed it to the sun and irritation by plant sap. However, the rash rapidly spread and became tender. Shortly after this, blisters began to form and, a few hours prior to her arrival at hospital, her skin started to slough off from some of the affected areas. By the time of her attendance at accident and emergency, the extent of this sloughing had become much worse.
