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

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

Correct Answer:

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