A 25-Year-Old Woman Comes to the Physician with a Rash

question 1076

Multiple Choice

A 25-year-old woman comes to the physician with a rash on her buttocks.  The lesions began 10 days ago and are associated with intense itching and burning.  She has attempted treatment with cool compresses and calamine lotion without relief.  The patient has had occasional diarrhea and unintentional weight loss over the past few months.  Her medical history is otherwise unremarkable.  Her temperature is 37.1 C (98.8 F) , blood pressure is 117/76 mm Hg, pulse is 82/min, and respirations are 14/min.  The skin lesions are shown in the image below. Which of the following is the most likely diagnosis of this patient's rash?

• A)Bullous pemphigoid
• B)Dermatitis herpetiformis
• C)Erythema multiforme
• D)Herpes zoster
• E)Pemphigus vulgaris
• F)Psoriasis

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Definitions:

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Outcome Measure

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Symptom Checklist-90-Revised

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