A 35-year-old man has had an outbreak of pruritic lesions over the extensor surfaces of the elbows and knees during the past month. He has a history of malabsorption that requires him to eat a special diet, but he has had no previous skin problems. On physical examination, the lesions are 0.4- to 0.7-cm vesicles. A 3-mm punch biopsy of one of the lesions over the elbow is performed. Microscopic examination of the biopsy specimen shows accumulation of neutrophils at the tips of dermal papillae and formation of small blisters owing to separation at the dermoepidermal junction. Immunofluorescence studies performed on this specimen show granular deposits of IgA localized to tips of dermal papillae. Laboratory studies show serum antigliadin antibodies. What is the most likely diagnosis?
□ (A) Bullous pemphigoid
□ (B) Contact dermatitis
□ (C) Dermatitis herpetiformis
□ (D) Discoid lupus erythematosus
□ (E) Erythema multiforme
□ (F) Impetigo
□ (G) Lichen planus
□ (H) Pemphigus vulgaris
