HY USMLE Q #1105 – Dermatology

A 24-year-old woman comes to the physician for a 1-week history of blistering skin lesions on her arms, trunk, and legs. A biopsy specimen of the skin shows sub-epidermal blisters. One year ago she was treated with trimethoprim/sulfamethoxazole for a urinary tract infection. Vitals are normal. Which of the following is the most likely explanation for this patient’s findings?

  Bullous pemphigoid
  Goodpasture syndrome
  Granulomatosis with polyangiitis
  Pemphigus vulgaris
  Stevens-Johnson syndrome