Tuesday, June 23, 2020

The Daily PANCE PANRE Question 21

This papulosquamous eruption is most common in young adults. A single oval patch is generally noted several days before a more generalized, fawn-colored rash erupts. This rash is most prevalent on the trunk, and the proximal upper and lower extremities. The rash spontaneously disappears over 5 to 6 weeks. The diagnosis is: pityriasis rosea tinea corporis psoriasis atopic dermatitis sporotrichosis Answer: A Pityriasis rosea This is the classic presentation of pityriasis rosea. Remember that the differential diagnosis includes secondary syphilis, so if there is a positive sexual history - consider ordering a VDRL/RPR. The "herald" patch which is described is pathognomonic for pityriasis. Know Your NCCPA Content Blueprint Pityriasis rosea is covered in theNCCPA Content Blueprint Dermatology (5%) An 8-month old, well-appearing male with a one-week history of rash on trunk; minimal pruritus; faint scaling and recent history of viral illness (watch video)Learn more about pityriasis rosea, study the lesson flashcards and view this ReelDx video case at Smarty PANCE pityriasis rosea Note: * This is part of the Daily PANCE and PANRE in your inbox email series: 60 days of PANCE and PANRE Questions and Answers delivered directly to your inbox. It is a great and fun way to learn! If you haven't already, you can sign up for FREE by clicking Here. The Daily PANCE PANRE Question 21 This papulosquamous eruption is most common in young adults. A single oval patch is generally noted several days before a more generalized, fawn-colored rash erupts. This rash is most prevalent on the trunk, and the proximal upper and lower extremities. The rash spontaneously disappears over 5 to 6 weeks. The diagnosis is: A. pityriasis rosea. B. tinea corporis C. psoriasis. D. atopic dermatitis. E. sporotrichosis Answer: A This is the classic presentation of pityriasis rosea. Remember that the differential diagnosis includes secondary syphilis, so if a positive sexual history - consider ordering a VDRL/RPR. The "herald" patch which is described is pathognomonic for pityriasis. Note: * This is part of the Daily PANCE and PANRE in your inbox email series: 60 days of PANCE and PANRE Questions and Answers delivered directly to your inbox. It is a great and fun way to learn! If you haven't already, you can sign up for FREE by clicking Here.