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  #1  
Old 03-18-2012
tyagee's Avatar
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Skin Itchy Hands and Feet Lesions!

A 29-year-old man presents to the physician with a lesion on the dorsum of his hand for the last 48 hours. He states that he has numerous similar lesions on the palm of his hand and the soles of his feet. They are slightly pruritic. He is otherwise well. Physical examination reveals that the lesions are bilaterally symmetrical over the stated areas. There is no mucosal membrane involvement and bullae are absent. What is the most likely prognosis of this patient?

A. Generalized sepsis
B. Permanent infertility
C. Spontaneous resolution within 2-3 weeks
D. Survival only with oral steroids
E. Tubular necrosis and acute renal failure
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  #2  
Old 03-18-2012
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Is this systemic sclerosis ie scleroderma. If it is then the answer is D.
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Old 03-18-2012
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Erythema Multiforme???? Spontaneous resolution....
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  #4  
Old 03-19-2012
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wow... confusing !!

i hate dermatology !!
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Old 03-19-2012
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Quote:
Originally Posted by tyagee View Post
A 29-year-old man presents to the physician with a lesion on the dorsum of his hand for the last 48 hours. He states that he has numerous similar lesions on the palm of his hand and the soles of his feet. They are slightly pruritic. He is otherwise well. Physical examination reveals that the lesions are bilaterally symmetrical over the stated areas. There is no mucosal membrane involvement and bullae are absent. What is the most likely prognosis of this patient?

A. Generalized sepsis
B. Permanent infertility
C. Spontaneous resolution within 2-3 weeks
D. Survival only with oral steroids
E. Tubular necrosis and acute renal failure


only few conditions effect palm and sole they are:syphilis, TSS, janeway lesion, hand foot mouth disease, Reiters, Nessieria, Rocky mountain fever.

So i think its HandFoot mouth disease and it resolve on its own so C..
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Old 03-19-2012
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Quote:
Originally Posted by drnrpatel View Post
Erythema Multiforme???? Spontaneous resolution....
thats correct. may i know how u say them EM.q does not mention target lesions...nor EM specifically involves plams and soles...
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  #7  
Old 03-19-2012
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Bilaterally symmetrical + No Bulla/Mucus membrane involvement( Gives a clue that it's not Steven Johnsan or TEN- So it may be drug related)
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