Snapshot A 45-year-old woman presents to the physician's office for a painful and blistering rash. She reports having a 1-month history of nonhealing ulcers in her mouth, which she previously attributed to stress. However, she reports new ulcers in her mouth and new easily-ruptured blisters on her skin. Approximately 6 weeks ago, she reported starting a new drug, captopril, for management of her hypertension. On physical exam, she has dozens of flaccid bullae and erosions on her trunk and extremities; she has 3 ulcers along her buccal mucosa. She is started on systemic steroids and captopril is discontinued. Introduction Clinical definition login to view 1 more bullet Epidemiology login to view 4 more bullets Pathogenesis login to view 4 more bullets Associated conditions login to view 9 more bullets Prognosis login to view 4 more bullets Presentation Symptoms login to view 3 more bullets Physical exam login to view 7 more bullets Studies Labs login to view 3 more bullets Histology login to view 5 more bullets Differential Bullous pemphigoid login to view 3 more bullets Treatment Conservative login to view 6 more bullets Medical login to view 11 more bullets Complications Skin and soft tissue bacterial infection of open lesions Risk of PV in newborn login to view 1 more bullet