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Image MCQ - 2-2-15
#1
[Image: PMxiX4S.jpg]

A 45-year-old woman presents to clinic with a new pruritic rash on the flexor surface of her left forearm. Her medical history is significant for Wilson disease, and she was recently started on penicillamine, a copper-chelator. On exam she has Kayser-Fleischer rings in both eyes and purple, polyangular papules on her left forearm. On closer inspection, fine white streaks cover the surface of the papules. 


Q1. What is the probable diagnosis?
A. Psoriasis
B. Lichen Planus
C. immune thrombocytopenic purpura
D. None

Q2. What is the probable cause of the eruptions?

Q3. What is the best treatment option at this time?
A. Oral steroids
B. Oral antihistamine
C. Topical steroids
D. B and C only
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