A 35-year-old office worker complains of widespread pruritus for the last 2 weeks. She has no particular history of note, though she is currently staying with her parents due to financial difficulties. She has noticed the itching is particularly bad at night. On examination, she has several circular erythematous lesions on her arms and legs.
Given the likely diagnosis, what is the most appropriate first-line treatment option?
A 35-year-old woman with a history of eczema presents with itchy, red patches on her inner elbows, back of knees, and thighs. The skin on her right thigh is oozing. She reports feeling fatigued and wonders if she has had a fever. Her vital signs are within normal limits. Based on your assessment, you diagnose her with moderately severe eczema.
What is the best course of action for managing her condition?
A 35-year-old woman comes to the clinic with patchy hair loss on her scalp, which is well-defined. The hair loss is affecting approximately 25% of her scalp, and she is experiencing significant emotional distress. The doctor suspects alopecia areata. What would be an appropriate course of action for management?
A 60-year-old man presents with blisters on his skin. He reports that some of the blisters have healed and left scars, but others are still growing, and new ones are appearing. Despite taking antibiotics prescribed by his doctor, the blisters have not improved. Upon examination, he has multiple superficial skin lesions and oral ulcers that easily slough off. A skin punch biopsy shows circular intra-epidermal deposits. What other condition is likely to be present in this patient?
A 45-year-old man visits his GP with a lump on the side of his head. During the examination, the GP suspects that the lump may be a basal cell carcinoma. What characteristic is most indicative of this diagnosis?
A 67-year-old woman presents with blistering lesions on her leg and is suspected to have bullous pemphigoid. What would be the most suitable course of action for management?
A 17-year-old female patient presents with concerns about her acne and its impact on her self-esteem. She has been experiencing acne for a few years and is currently taking the combined oral contraceptive pill, which has provided some relief. After a thorough discussion, you decide to initiate treatment with topical isotretinoin. What other side effect, in addition to its teratogenic effects, should you inform her about?
A 60-year-old man comes to the clinic complaining of worsening psoriasis. He reports feeling more stressed lately and suspects it may be contributing to his flare-up. Additionally, he has recently started taking a new medication. During the physical examination, scaly plaques on the extensor surfaces and trunk that are erythematous are observed. Which of the following medications could potentially trigger exacerbations in his condition?
A 75 year-old woman comes to the clinic with a non-healing skin area on her ankle. She had a deep vein thrombosis 15 years ago after a hip replacement surgery. She is currently taking Adcal D3 and no other medications. During the examination, a superficial ulcer is observed in front of the medial malleolus. Apart from this, she is in good health. What test would be the most beneficial in deciding the next course of action?
A 55-year-old woman comes to see her general practitioner complaining of a progressively worsening erythematous rash on her nose, forehead, and cheeks accompanied by telangiectasia and papules for the past year. The rash is exacerbated by exposure to sunlight and consumption of hot and spicy foods. She has previously sought medical attention for this condition and has been treated with topical metronidazole, but her symptoms persist. She has no allergies and is otherwise healthy.
What is the most suitable course of action for managing this patient’s condition?