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Images 10.74.1A: Vesicular dermatitis, intraepidermal, acantholytic + 10.74.1B: Lymphocytes along the dermoepidermal junction and individual necrotic keratocytes in the spinous zone = Paraneoplastic pemphigus The combination of changes at the dermoepidermal junction interface and acantholytic cells in the epidermis is indicative of paraneoplastic pemphigus, which differs from pemphigus vulgaris and erythema multiforme, even though it […]