A Middle-Aged Man Developed Multiple Flat Ulcers in His Palate

question 23

Multiple Choice

A middle-aged man developed multiple flat ulcers in his palate, tongue, and buccal mucosa. The lesions measured approximately 1 cm in diameter and were preceded briefly by bullae. The lesions have been persistent for 6 weeks. He has no skin, eye, or genital lesions. Biopsy shows acantholysis with intraepithelial separation. He most likely has:

• A) Erythema multiforme
• B) Discoid lupus erythematosus
• C) Primary herpes simplex infection
• D) Mucous membrane pemphigoid
• E) None of the above

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Definitions:

Prolonged Stress

Refers to a chronic state of stress that lasts for an extended period of time, potentially leading to negative health outcomes.

Cortisol Levels

The concentration of cortisol, a hormone produced by the adrenal glands, which is often measured to assess stress response or adrenal function.

Epinephrine Levels

The concentration of epinephrine, also known as adrenaline, a hormone and neurotransmitter involved in the body's fight-or-flight response.

Pleasant Events

Activities or occurrences that induce positive emotions and enjoyment.