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Question: Can you identify this condition?

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Vol 59: september • septembre 2013

|

Canadian Family PhysicianLe Médecin de famille canadien

963

Dermacase

Can you identify this condition?

Russell Wong

MD

Vimal Prajapati

MD

Benjamin Barankin

MD FRCPC

A

77-year-old man presents with a several-month history of intense pruritus and a 2-week history of a widespread eruption consisting of multiple tense vesicles and bullae arising on both normal-appearing and erythematous skin. There are no oral mucosal findings. His medical history is relevant for type 2 dia- betes mellitus and hypertension, for which he takes metformin and felodipine, respectively.

The most likely diagnosis is 1. Bullous drug eruption 2. Cicatricial pemphigoid 3. Pemphigus vulgaris

4. Epidermolysis bullosa acquisita 5. Bullous pemphigoid

Answer on page 964

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Vol 56: july • juillet 2010 Canadian Family Physician • Le Médecin de famille canadien