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A 64-Year-Old Man Arrives at the Clinic with a 4-Day

Question 620

Multiple Choice

A 64-year-old man arrives at the clinic with a 4-day history of acute left-sided chest pain. The pain is persistent and has a burning sensation to it. The patient has acquired a rash in the region of pain during the previous day. He had never experienced anything like this before. The patient's medical history is ordinary. The patient is awake and alert, and his vital signs are normal. A vesicular rash in the 5th left intercostal area is discovered on physical examination. Which of the following pathologic findings in the afflicted region is most likely?


A) Acantholysis and intercellular IgG deposits
B) Eosinophilic cytoplasmic inclusions
C) Koilocytosis of the superficial epidermal layers
D) Microabscesses at the tips of dermal papillae
E) Multinucleated cells with intranuclear inclusions

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