Bullous Diseases · Pathology

Which bullous disease is characterized by 'festooning' of the dermal papillae into the blister cavity?

  1. Porphyria cutanea tarda
  2. Pemphigus vulgaris
  3. Epidermolysis bullosa simplex
  4. Hailey-Hailey disease
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Correct answer: Porphyria cutanea tarda

Festooning refers to the preservation of the jagged shape of the dermal papillae at the base of a subepidermal blister. It is classic for Porphyria cutanea tarda due to the rigidity of the dermal vessels.

Difficulty: Medium Question 13 of 20

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