SOLVED1602

A 38-year-old woman presents with a 2-year history of intermittent diarrhea, abdominal pain, bloating, and fatigue. She does notice it is worse with some foods like pizza and sandwiches and has had some unintentional weight loss. Her medical history includes irritable bowel syndrome that was diagnosed 5 years ago and is currently managed with over-the-counter antispasmodic medication. She underwent a laparoscopic appendectomy 6 years ago for uncomplicated appendicitis. Today, she reports a new-onset rash that is extremely itchy. Vital signs are BP 110/77 mm Hg, HR 76 bpm, RR 12/min, and T of 98.4°F. On physical exam, there is a papulovesicular eruption on the extensor surfaces of both forearms, buttocks, and knees. There is also mild abdominal distension and tenderness to palpation in the periumbilical region. What is the most likely diagnosis? Atopic dermatitis Bullous pemphigoid Dermatitis herpetiformis Erythema nodosum Pyoderma gangrenosum
SCIENCE
HEALTH SCIENCE
NURSING

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