Clinical Challenge: Blistering Rash on Abdomen, Thighs

A 76-year-old nursing-home resident with obesity has developed a blistering rash of her abdomen and thighs. The patient was bedridden and was noted to scratch the lesions quite often.

The patient was taking oral antihypertensive medications but none were recently initiated. Scattered tense bullae were noted, along with excoriations and superficial ulcerations.