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Dermatology · Bullous disorders: linear IgA bullous disease
Sample itemA child has annular blisters forming a rosette, described as a string of pearls, with linear IgA at the basement membrane. Which drug is a well-known cause of the adult drug-induced form?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Vancomycin
Linear IgA bullous disease shows linear IgA along the basement membrane and can be drug induced, classically by vancomycin. Dapsone is first-line treatment.
Option by option
A. Amlodipine
Amlodipine is not a typical trigger.
B. Metformin
Metformin is not associated.
C. Vancomycin (correct)
Correct. Vancomycin is the classic trigger.
D. Isoniazid
Isoniazid is not a classic trigger.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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