<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 56-year-old woman comes to the emergency department because of a 3-day history of malaise, dysuria, blurred vision, and a painful, itchy rash. The rash began on her chest and face and spread to her limbs, palms, and soles. One week ago, she was diagnosed with trigeminal neuralgia and started on a new medicine. She appears ill. Her temperature is 38C 100.4F and pulse is 110min. Physical examination shows conjunctival injection and ulceration on the tongue and palate. There is no lymphadenopathy. Examination of the skin shows confluent annular, erythematous macules, bullae, and desquamation of the palms and soles. The epidermis separates when the skin is lightly stroked. Which of the following is the most likely diagnosis?? A: Bullous pemphigoid, B: Stevens-Johnson syndrome, C: Pemphigus vulgaris, D: Drug-induced lupus erythematosus, E: DRESS syndrome,  <response>: Based on the information provided in the question stem, the key findings are:- 56-year-old woman with 3-day history of malaise, dysuria, blurred vision, and painful, itchy rash- Rash began on chest and face then spread to limbs, palms, and soles - Diagnosed with trigeminal neuralgia 1 week ago and started on new medication- Fever, tachycardia, conjunctival injection, oral ulcerations - Confluent annular, erythematous macules, bullae, desquamation of palms and soles- Positive Nikolsky sign epidermal separation with light stroking of skinThese findings are most consistent with Stevens-Johnson syndrome SJS, a severe mucocutaneous reaction characterized by extensive epidermal detachment and mucosal ulceration. The patients recent initiation of a new medication makes SJS likely. Pemphigus vulgaris, bullous pemphigoid, and DRESS syndrome are less likely based on the acute presentation and lack of tense blisters. Drug-induced lupus would not cause the mucocutaneous findings described.B: Stevens-Johnson syndrome 