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Kaplan Qbank USMLE



Author7 Posts
  #1

A middle aged man develops a scleroderma like illness with thickening of skin.The thickened skin is marked over the anterior surfaces of the extremities and has a characteristic "orange peel" appearance.The man has not experienced Raynauds phenomenon.No calcinosis or telengiactesias are seen. What is the diagnosis?

a)CREST syndr
b)Dermatomyositis
c)Eosinophilic Fasciitis
d)Polymyalgia Rheumatica
e)Polymyositis

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  #2

i would go with b)Dermatomyositis
(although i have no idea about eosinophilic fascitis ; any info on that? )

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  #3

Me too, Braised eyebrow

  #4

Or maybe C shaking head

  #5

C.

Eosinophilic fasciitis is a rare disorder presenting with skin changes that resemble diffuse systemic sclerosis. The inflammatory abnormalities, however, are limited to the fascia rather than the dermis and epidermis. Patients with eosinophilic fasciitis are further distinguished from those with systemic scleroderma by the presence of peripheral blood eosinophilia, the absence of Raynaud's phenomenon, an increased risk of developing aplastic anemia and good response to steroid (FROM CMDT 2006)

Dermatomyositis will present typically with Gottron's papules and heliotrope rash.


  #6

bang on drhouston
Good Job!!!!!!!!smiling face

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  #7

good question jinx. keep posting more pls.

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