Aashi
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A 56-year-old woman comes to the clinic with pain in the wrists, knees, and fingers for several weeks. She has been taking ibuprofen for these symptoms. She has also begun noticing that she is unable to withstand staying out in the sun because the light bothers her eyes and she develops a rash on her cheeks. She has recently been found to have a reactive PPD skin test, and she was started on isoniazid several months ago. She has hypertension, diabetes, and gout. Her medications are metoprolol, metformin, and allopurinol. There has been no recent change in these medications. The physical examination shows a blood pressure of 129/84 mm Hg, a temperature of 37.0 F, and the rash on her face. Which of the following is most appropriate action?
(A) Change her pain medications
(B) Change her antigout medication
(C) Change her antituberculosis medications
(D) Corticosteroids
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| prathapdoctor
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change her anti tuberculous medicine, drug induced SLE.
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| robin082006
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sound like SLE like syndrome to me.
SLE-like syndrome: (HIPP) hydralazine, INH, procainamide, phenytoin
Answer is C
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| fox
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agree
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| dr.wad
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go on .....it is (C ) change isoniazide
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| chemamr
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C (INH-lupus-like)
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| Aashi
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yep its C 
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