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  #1  
Old 11-01-2012
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Skin Silvery Scales; Not Psoriasis!

A 25 year old man develops sudden appearance of flat plaques with silvery scales on the extensor aspect of his forearm. He had a trivial trauma on the same region 5 days back. On examination by a dermatologist, he finds that as the scales are being removed, bleeding takes place from beneath the scales. What do you suspect in this patient?
A. Actinic keratosis
B. Erythema multiforme
C. Pityriasis rosea
D. Sebaceous hyperplasia
E. HIV
F. Prickly heat
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  #2  
Old 11-01-2012
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I would choose C) Pityriasis rosea. The most common causes of plaques with silvery scales are psoriasis, fungus infection and pityriasis rosea (Herald patch).
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  #3  
Old 11-01-2012
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i also go with C) pityriasis rosea....but no idea of it before..

remaining options doesnt look promising.....

thanks
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  #4  
Old 11-01-2012
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Strange question
Going with C (Not sure)
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  #5  
Old 11-01-2012
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Default GG......Psoriasis

I bet this answers are not complete
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  #6  
Old 11-01-2012
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Quote:
Originally Posted by blade View Post
I bet this answers are not complete
This is a good one, blade! It would be so cool to be able to add our own answers in the exam questions! Sick and tired of everything! Guess this is not a good sign
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Old 11-01-2012
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i go with D'
lets see wht is th correct answer
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  #8  
Old 11-01-2012
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Default @Blade

Blade, dear pal...............u can't add your own option...........lol
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Old 11-01-2012
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Default HIV

Quote:
Originally Posted by Teona View Post
This is a good one, blade! It would be so cool to be able to add our own answers in the exam questions! Sick and tired of everything! Guess this is not a good sign
lol..I wish they give us that option

@subbi
I would choose E(kaposi sarcoma)But the vigennet is classic psoriatic lesion
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Old 11-01-2012
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my ans is HIV..
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Old 11-01-2012
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patient had trauma in same location-may induced HSV,so erythema multiforme :associated with infection(mycoplasma pneumoniae,HSV)and located on the palms,soles and EXTENSOR SURFACES
my answer is erythema multiforme
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  #12  
Old 11-01-2012
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Thank you guys for your different opinions...............the question here clearly gives the clinical vignette of psoriasis.................but note the word "SUDDEN" here........it's an acute onset of psoriasis................the question asks "what do you suspect"............you have your diagnosis psoriasis..........Sudden onset psoriasis highly raises the suspicion of HIV........so answer is HIV...............thanx.
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  #13  
Old 11-04-2012
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Thank you subbi!
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Old 11-04-2012
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Quote:
Originally Posted by subbi View Post
Thank you guys for your different opinions...............the question here clearly gives the clinical vignette of psoriasis.................but note the word "SUDDEN" here........it's an acute onset of psoriasis................the question asks "what do you suspect"............you have your diagnosis psoriasis..........Sudden onset psoriasis highly raises the suspicion of HIV........so answer is HIV...............thanx.
HEY..it was good one!thanks for the q and explanation.and plz keep on posting the correct answers for ur brainstorming qsdont forget to mention the source of explanations
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  #15  
Old 11-04-2012
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Quote:
Originally Posted by trupti View Post
HEY..it was good one!thanks for the q and explanation.and plz keep on posting the correct answers for ur brainstorming qsdont forget to mention the source of explanations

You're welcome frens!.................i'll post at my level best..........refer this answer in Goljan: topic- Psoriasis.
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