Diffuse Bullous Skin Lesions

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Case 1

A 55-year-old man presents to the clinic with multiple tense bullae diffusely involving his trunk and extremities that overlie urticarial plaques. The patient states that for the past 4 weeks, his skin has been intensely itchy, and he has noticed areas of redness that he describes as “hives.” He has tried over-the-counter anti-itch creams and moisturizers without relief. He states that besides having a viral respiratory illness last month, he is otherwise in good health.

Can you diagnose the condition in Case 1?

A. Pemphigoid gestationis 

B. Bullous pemphigoid 

C. Epidermolysis bullosa acquisita

D. Pemphigus vulgaris

Click to the next page for the answer.

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