Sudden edematous exudative erythema in a waterfall pattern

A 48-year-old man presented to the emergency department because of a sudden, widespread, painful skin rash that started 18 hours after a bath. With no remarkable personal medical history, he was referred to the Department of Dermatology for a suspected thermal burn. The patient stated that he had taken a shower with an infusion of fig leaves followed by sun exposure, which was intended to be a purifying treatment. The physical examination revealed erythematous and edematous lesions with some areas of blistering and exudation located exclusively in sun-exposed areas.

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