Man in Urgent Care Wants Tense Bullae to Stop Itching – Let’s Diagnose

A 75-year-old man with a history of type 2 diabetes went to urgent care with many scattered tense bullae on his body. They were especially bothersome under his arms. He asked the doctor what he could do to relieve the itching sensation. He was also having some pain when he swallowed.

Could it be bullous pemphigoidAllergic contact dermatitisPoison ivyAn insect bite reaction?

Check out the differential we created in VisualDx for this case.

The correct answer is…

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