Best of Five 3.46

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BOF: 3.46

A 33-year-old male presents with an itchy rash over his scalp and on his face. The rash came on quite suddenly is very severe, and extensive and is not responding to simple local treatment that he was given by a pharmacist.

On examination, on the scalp there are widespread thick adherent crusts. The skin shows greasy scaling over red inflamed skin. This involves the forehead, the eyebrows, the lash line, the nasolabial folds, the beard, and the post auricular skin.

In this patient which of the following tests is most likely to determine the underlying cause of the disease?

a)      Skin scraping

b)      Skin biopsy

c)      Patch testing

d)      HIV test

e)      TPHA

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