Race for the Case

Race for the Case is a clinical quiz feature published quarterly in Dermatology World Directions in Residency — and right here!

Review the case and photos, and submit your answers to the questions below. If you answer correctly, you'll be entered to win a $25 Starbucks gift card. Free coffee and pastries are on the line — what are you waiting for?


10-year-old female presented to the ER with a 10-day history of a progressing bullous eruption. She denied fevers, diarrhea, pruritus, or pain. No new medications had been started prior to the onset.

On exam she had discrete round–oval polycyclic bullous lesions with raised beaded rims of varying sizes that involved the trunk, bilateral upper and lower extremities, and buttocks. There were no intraocular or intraoral mucosal lesions, but there were vesicles around the nares and upper cutaneous lip.

What would you expect to see on biopsy and DIF?
What is the treatment of choice for this disease?
What medications can be triggers for this disease?
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