Figure 2: (a) The first biopsy specimen showed a subepidermal blister with mixed inflammatory cells, including many eosinophils. (b and c) Microscopic examination of the second skin biopsy demonstrated marked psoriasiform hyperplasia with dermoepidermal junctional separation and many dermal eosinophils, which may be consistent with pemphigoid vegetans clinically. (d) Direct immunofluorescence of the second biopsy highlighted linear deposition of C3 along the basement membrane zone.