A 64-Year-Old Man Comes to the Office with a 4-Day

A 64-year-old man comes to the office with a 4-day history of severe left-sided chest discomfort.  The pain is constant and has a burning quality.  Over the last day, the patient has developed a rash in the area of discomfort.  He has not had similar symptoms before.  Past medical history is unremarkable.  The patient is afebrile and vital signs are normal.  Physical examination shows a vesicular rash at the 5th left intercostal space.  Which of the following pathologic findings is most likely to be found in the affected area?

A) Acantholysis and intercellular IgG deposits
B) Eosinophilic cytoplasmic inclusions
C) Koilocytosis of the superficial epidermal layers
D) Microabscesses at the tips of dermal papillae
E) Multinucleated cells with intranuclear inclusions

Correct Answer:

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