Row of tombstone is seen in which skin disorder:: (A) Pemphigus vulgaris, (B) Pemphigus foliaceous, (C) Paraneoplastic pemphigus, (D) Bullous pemphigoid
Answer is A. Ans. A. Pemphigus vulgaris* Pemphigus vulgaris is characterized by following signs:1. Bulla spread sign2. Perilesional, and distant Nikolsky sign3. Tzanck smear: Acantholytic cell* Histopathology shows suprabasal blister with row of tomb stone appearance of basal cells.* Direct immunofluorescence from perilesional skin demonstrated intra epidermal IgG deposits' in a fishnet pattern.