<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 10-month-old girl is brought to the physician because of a 4-day history of irritability and a rash. Her temperature is 37.7C 99.9F. Examination of the skin shows flaccid, transparent blisters and brown crusts on her chest and upper extremities. Application of a shear force to normal skin causes sloughing. Which of the following is the most likely underlying cause of this patients condition?? A: Type IV hypersensitivity reaction, B: Exfoliative toxin A release, C: Streptococcus pyogenes infection, D: Uroporphyrin accumulation, E: Anti-hemidesmosome antibody formation,  <response>: This is a clinical vignette describing a 10-month-old girl with a 4-day history of irritability, rash, blisters and crusts on her skin. The key findings are:- Age: 10 months old - Irritability and rash for 4 days- Low grade fever - Blisters and crusts on chest and arms- Positive Nikolsky sign sloughing with shear forceThis presentation is most consistent with staphylococcal scalded skin syndrome SSS, which is caused by exfoliative toxins released by Staphylococcus aureus. SSS typically affects infants and young children and presents with the classic fragile, sloughing skin with blisters and crusts. The other options can be ruled out:- Type IV hypersensitivity is unlikely in an infant and does not cause blistering- Strep pyogenes does not cause blistering rashes- Uroporphyrin accumulation causes photosensitivity, not blistering- Anti-hemidesmosome antibodies cause blistering in autoimmune bullous diseases like pemphigoid, which is rare in infants.B: Exfoliative toxin A release 