An 8-Year-Old Boy Is Brought to the Office Due to a Lower

question 554

Multiple Choice

An 8-year-old boy is brought to the office due to a lower extremity skin rash for the past 3 days.  The rash began as tender papules that quickly progressed to form vesicles and flaccid bullae that rupture easily.  The patient has no mucosal lesions or other rashes and has never had similar symptoms before.  He is up to date with recommended vaccinations and takes no medications.  Skin examination findings are shown below. Which of the following is the most likely cause of this patient's skin findings?

• A)Autoantibodies targeted against hemidesmosomes
• B)Autoantibody-mediated epidermal cell separation
• C)Bacterial toxin-induced desmoglein 1 cleavage
• D)Defective epidermal barrier and T-cell dysregulation
• E)Inflammatory response to viral lytic infection

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Definitions:

Fiduciary Duty

A legal obligation of one party to act in the best interest of another within the scope of their relationship.

Breach of Duty

A violation or neglect of a responsibility or duty imposed by law which can lead to legal consequences.

Competing Business

A company that offers similar goods or services and operates in the same market segment as another business.

Automotive Repair

The process of fixing or maintaining vehicle machinery and systems to ensure its proper functioning.