A 70-year-old woman with biopsy-confirmed bullous pemphigoid presents with new-onset confusion, hypotension, and leukocytosis two weeks after starting systemic prednisone 60 mg daily. She also reports tremors and blood glucose of 320 mg/dL. What is the next best step in management?

A. Taper corticosteroids and begin doxycycline and nicotinamide

B. Switch to mycophenolate mofetil

C. Hospitalize and initiate IVIG

D. Start azathioprine

E. Administer rituximab infusion

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