9th July 2023

A 54-year-old female with a background of hypertension and atopic dermatitis

A 54-year-old female with a background of hypertension and atopic dermatitis presents with multiple shallow tender erosions of the oral mucosa and easily ruptured blisters and erosions over her anterior chest. Her medication history includes paracetamol, lisinopril, furosemide, topical hydrocortisone and Cetraben cream. You suspect a diagnosis of pemphigus vulgaris. What is the likely trigger?

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