new_n_lost
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A 40-year-old female presents with a six month history of pruritic papules, vesicles and excoriations on the elbows, knees, buttocks and scalp. Her GP has prescribed topical betamethasone therapy which has been unhelpful.
What is the most likely diagnosis?
1) Atopic dermatitis
2) Dermatitis herpetiformis
3) Hennoch-Schonlein purpura
4) Psoriasis
5) Scabies
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| keepgoing
Forum Guru
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extensors are involved ,thought may be Psoriasis but lesions---->>DH so may be 2?
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| rock
Forum Elite
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never knew dermatology enough
still have to go thru it. i will be waiting for the answer though
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| tanmaynator
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d psoariasis??
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| mms
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d?
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| new_n_lost
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Good Work KG
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| new_n_lost
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The question describes the characteristic distribution of the lesions of dermatitis herpetiformis. DH is one of the immuno bullous conditions and characteristically has very intensely pruritic vesicles. It is not usually responsive to topical steroids, but would respond well to Dapsone. It is associated with gluten sensitivity and celiac disease. Atopic eczema is non vesicular and would respond to potent topical steroids. HSP is a purpuric rash and is non pruritic. Scabies usually affect the extremities and rarely affects above the neck line. It does not cause papules and vesicles.
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| usmlefever
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my ans is b without peaking.
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