A 64-Year-Old Man Comes to the Office Due to Blisters

question 693

Multiple Choice

A 64-year-old man comes to the office due to blisters on his trunk and groin.  Itching has occurred for the past several weeks, and blisters developed a week ago.  He has a history of hypertension and osteoarthritis.  The patient received the zoster vaccine at age 60.  Examination shows numerous 0.5- to 3-cm bullous skin lesions.  The findings from a skin biopsy are shown in the image below: Which of the following is the most likely diagnosis?

• A)Bullous pemphigoid
• B)Contact dermatitis
• C)Dermatitis herpetiformis
• D)Lichen planus
• E)Pemphigus vulgaris

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Definitions:

Logical Thinking

The process of reasoning consistently and drawing conclusions based on a systematic analysis of information.

Preoperational

A stage in Piaget's theory of cognitive development, occurring roughly between the ages of 2 and 7, characterized by symbolic thinking and egocentrism.

Theory Of Mind

The ability to attribute mental states—beliefs, intents, desires, emotions—to oneself and others and to understand that others have beliefs, desires, and intentions that are different from one's own.

Hostile Put-Down

A Hostile Put-Down is a form of verbal aggression in which someone insults or demeans another individual, typically to assert dominance or diminish the other's self-esteem.