9th July 2023

A 42-year-old female with a background of alcohol excess presents with a painful blistering rash and hyperpigmentation on her face

A 42-year-old female with a background of alcohol excess presents with a painful blistering rash and hyperpigmentation on her face, neck and arms. The skin also appears fragile, and she states her skin blisters on minimal impact, particularly after spending time in the sun. On systemic enquiry, she mentions she has noticed red-wine-coloured urine. What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.