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 Best of Five 2.77

 

   

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BOF: 2.77

 

A 42-year-old male who is known to have Down's syndrome is admitted by his general practitioner for management of an in tractable itch. The itch is worse at night.  He is a long term resident in an institution for the mentally handicapped

On examination of his skin you notice multiple vesicles, pustules, papules, burrows and excoriations especially over the webs of his fingers and in the flexures.

What is the most likely diagnosis?

 

a)      Polycythaemia rubra vera

b)      Lichen planus

c)      Scabies

d)      Pityriasis rosea

e)      Dermatitis herpetiformis

 

 

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