A 64-Year-Old Guy Visits the Office Because He Has Blisters

A 64-year-old guy visits the office because he has blisters on his trunk and groin. Itching has been going on for several weeks, and blisters appeared around a week ago. He has a history of high blood pressure and osteoarthritis. At the age of 60, the patient received the zoster vaccination. A thorough examination reveals multiple 0.5- to 3-cm bullous skin lesions. The results of a skin biopsy are depicted in the figure 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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