Question:medium

Nikolsky's sign is seen in which of the following conditions?

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Skin slides off with pressure due to loss of epidermal cohesion - seen across many blistering diseases.
Updated On: Jun 24, 2026
  • Pemphigus
  • Herpes zoster
  • Bullous impetigo
  • All of the above
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The Correct Option is D

Solution and Explanation

Step 1: Define the sign. Nikolsky's sign refers to easy dislodgement of the upper epidermis with gentle sliding pressure, reflecting a weak intra-epidermal or sub-epidermal junction.

Step 2: List positive disorders. The sign appears in pemphigus vulgaris, toxic epidermal necrolysis, Stevens-Johnson syndrome, staphylococcal scalded skin syndrome, bullous impetigo, herpes simplex and varicella-zoster blistering, epidermolysis bullosa and bullous lichen planus.

Step 3: Match to options. Pemphigus, bullous impetigo and herpes zoster are all on this list, so no single choice is exclusive.

Step 4: Therefore the inclusive answer is correct.

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