3.0 of 1 Ratings
A 37-year-old woman with a history of systemic lupus erythematosus, on prednisone and methotrexate, presents to the dermatology clinic with three weeks of a diffuse, itchy rash. Physical exam is remarkable for small red papules in her bilateral axillae and groin and thin reddish-brown lines in her interdigital spaces. The following skin biopsy is obtained. Which of the following is the most appropriate treatment?
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A 19-year-old college student presents to the emergency department complaining of an itchy rash on her hands and in her groin for 2 days. The itching is worse at night. The patient has traveled recently for spring break to South America, London, and Spain. She went hunting while on vacation and hunted animals including rabbits, deer, and foxes. She participated in a rabbit taxidermy course as well during this time. Her temperature is 97.0°F (36.1°C), blood pressure is 120/74 mmHg, pulse is 80/min, respirations are 12/min, and oxygen saturation is 98% on room air. Physical exam is notable for the finding in Figure A. Which of the following is the most appropriate treatment for this patient?