A 67-year-old woman with an extensive rash is referred urgently to hospital. The rash started on the backs of her hands and spread very quickly to the arms, trunk, neck, and face. The lesions consist of concentric rings with frank blistering in some areas. Lesions have also started to appear on her lips and inside her mouth. Current medications Ramipril 10mg once daily Simvastatin 40mg at night Aspirin 75mg once daily Metformin 1g twice daily Gliclazide 40mg each morning She was started on aspirin 5 years ago following a stroke.
At about the same time, she was diagnosed with type 2 diabetes and has been taking metformin , ramipril , and simvastatin for over 4 years. She was prescribed gliclazide during her annual diabetes review 2 months ago. The patient denies taking any over-the-counter medicines or herbal remedies. She has not made any significant changes to her diet and there is no…
