DERMATOLOGY MCQs pdf free download

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DERMATOLOGY MCQs pdf free download. A 43-year-old man comes for review. A few months ago he developed redness around his nose and cheeks. This is worse after drinking alcohol. He is concerned as one of his work colleagues asked him if he had a drink problem despite him drinking 14 units per week. On examination he has erythema as described above with some pustules on the nose and telangiectasia on the cheeks. What is the most likely diagnosis?
A. Mitral stenosis
B. Seborrhoeic dermatitis
C. Alcohol-related skin changes
D. Acne rosacea
E. Systemic lupus erythematosus
ANSWER:
Acne rosacea
EXPLANATION:
This is a typical history of acne rosacea
ACNE ROSACEA
Acne rosacea is a chronic skin disease of unknown aetiology
Features
• typically affects nose, cheeks and forehead
• flushing is often first symptom
• telangiectasia are common
• later develops into persistent erythema with papules and pustules
• rhinophyma
• ocular involvement: blepharitis
Management
• topical metronidazole may be used for mild symptoms (i.e. Limited number of papules and pustules, no plaques)
• more severe disease is treated with systemic antibiotics e.g. Oxytetracycline
• recommend daily application of a high-factor sunscreen
• camouflage creams may help conceal redness
• laser therapy may be appropriate for patients with prominent telangiectasia
• the potential for rapid progression is high in most patients and most doctors advocate oral steroids as first-line treatment
• other immunosuppressive therapy, for example ciclosporin and infliximab, have a role in difficult cases

DERMATOLOGY MCQs pdf free download

DERMATOLOGY MCQs pdf free download
DERMATOLOGY MCQs pdf free download

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