Fig. 2

Rash in photodistributed Steven’s–Johnson Syndrome and Toxic Epidermal Necrolysis [32, 35, 38]. All three images were obtained from cases in this review and demonstrate a photodistributed pattern with the sparing of skin covered by bikini swimsuits. The rash distribution is less demarcated (solid arrows) without sharp lines as is observed in a common sunburn, and with satellite lesions (dotted arrows) that are target-like and isolated from the rest of the rash in areas where the swimsuit covered the skin during the UVR exposure. The images were from patient cases of a Steven’s–Johnson syndrome from 10 days of ciprofloxacin and sun exposure at the beach [35], b toxic epidermal necrolysis from 3 years of hydroxychloroquine and sun exposure on a cruise [32], and c toxic epidermal necrolysis from 10 days of lamotrigine and tanning bed exposure [38]