Abdominal Pain, High LFT, Sun Blister, Hirsute! - USMLE Forums
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  #1  
Old 04-04-2012
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Question Abdominal Pain, High LFT, Sun Blister, Hirsute!

A 28-year-old woman, who was diagnosed with lupus many years ago, comes in for a second opinion. She says she has a long history of recurrent belly pain and elevated liver enzymes for which no diagnosis was ever found. When she goes in the sun, she breaks out in blisters over her hands and feet (see figure). Physical examination reveals that she is quite hirsute. Her hands have multiple open sores and the skin is easily friable. What is the most appropriate treatment for her condition?


A. Dialysis
B. Iron supplementation
C. Methotrexate
D. Phlebotomy
E. Prednisone
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Old 04-04-2012
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e) prednisone?
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  #3  
Old 04-05-2012
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-Porphyria cutanea tarda (hirsute, cutaneous fragility and blistering of the hands, forearms, and, sometimes, the face, heptitis (inducer factor),
Rx. phlebotomy.
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Old 04-05-2012
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perfectly said by um alaa...
phlebotomy is the answer
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  #5  
Old 04-06-2012
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A: Phelbotomy
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  #6  
Old 04-15-2012
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waiting for answer !
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I'm Predictable In The Unpredictable Future !
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Old 04-15-2012
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Answer is D. this is PCT. umala has answered it right in above post. so I did not put the answer.
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Old 04-15-2012
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D. Phlebotomy
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