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 Best of Five 192

 

   

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BOF: 192

A 45-year-old female who is on disease modifying agents for rheumatoid arthritis presents with a blistering rash, which is sore but not itchy. On the skin there are multiple superficial bullae, which rupture easily, leaving erosions, which are painful. The base of the erosion is red and bleeds easily. The epidermis at the edge of the blister is easily dislodged by sliding pressure.  In the mouth the blisters rupture easily leaving superficial erosions.

The disease-modifying agent that the patient has been treated with is likely to be:

a)      Methotrexate

b)      Azathioprine

c)      Penicillamine

d)      Gold

e)      Sulphasalazine

 

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