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Test your clinical acumen with our monthly quiz CME Dermatology Clinic CE ■ LEARNING OBJECTIVES: To increase awareness of dermatologic conditions, their diagnosis, and up-to-date treatment. ■ COMPLETE THE POSTTEST: Page 58 ■ ADDITIONAL CME/CE: Pages 21, 55 CASE #1 Scaly plaques spread from head to toe BY JOSHUA WEINGARTNER, PAMELA S. ALLEN, MD, FAAD, AND HEATHER HENNIGAN, PA-C A 33-year-old Caucasian man presented with an 11-month history of an erythematous, pruritic, scaly rash that began on the scalp and spread to the rest of the body. The patient previously failed ﬁve months of treatment with oral and topical corticosteroids as well as antibiotics. The patient was generally healthy with a history of hypertension, asthma, and neuropathy secondary to a shoulder injury. Medications on presentation included a ﬂuticasone/salmeterol inhaler, an albuterol inhaler, and lisinopril. He had no known drug allergies. What is your diagnosis? Turn to page 44 CASE #2 Rash preceded by fever and cough BY CRAIG G. BURKHART, MD, MPH A child aged 23 months was admitted to the hospital with a four-day history of a high fever, cough, and conjunctivitis of unknown origin prior to the onset of an extensive, maculopapular rash. Neither the mother nor the father in this one-child family had any symptoms or rash. The young girl had no known exposures to anyone with a viral disease; however, she frequently accompanied her mother to the airport to pick up and drop off her father. After admission, the patient was placed on prophylactic oral antibiotics. When examined on her second hospital day, the child’s fever was waning while the rash was worsening. What is your diagnosis? Turn to page 45 www.clinicaladvisor.com • THE CLINICAL ADVISOR • JUNE 2010 43 CME CE Dermatology Clinic CASE #1 Pemphigus foliaceus are rarely involved in PF, unlike PV.3 The most common age of onset for PF is between 50 and 60 years. 3 Unlike Phy s ic a l ex a m showe d PV, PF is not seen more commonly in Jews or in people thickened, gray plaques on of Mediterranean descent. 3 PF sometimes develops in the scalp and erythematous, patients with PV and, more rarely, PV has been shown hyperkeratotic plaques on the to develop in patients with PF.4 cheeks, trunk, genitals, and PF is seen throughout the world but has an endemic bilateral lower extremities form known as Fog
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