asmi
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An 18-year-old male immigrant from West Africa presents with a maculopapular rash on his palms, soles, and lower extremities. He states that the rash started on his face, then spread over his body. A more detailed history reveals that rhinorrhea, cough, and photophobia were initial symptoms but have already resolved. Which of the following is a known complication of this infection?
A. Aplastic anemia
B. B-cell lymphoma
C. Loss of PPD skin test accuracy
D. Orchitis
E. Reye's syndrome
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| anne
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b :?:
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| Idiopathic
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Its (e)...this looks like rubeola (regular measles). it could be 5th's disease, but immunizations arent a big part of that disease, and we know that this person is an immigrant, so we should think poor immunization history (whether its true or not).
Reyes syndrome is liver failure resulting in encephalitis and death, due to ingestion of aspirin during a viral infection (measles, varicella, etc.) While this might not be expected in this individual, it is 'a known complication'.
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| asmi
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its C
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| Idiopathic
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Whats the disease? Measles?
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| anne
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u r right asma.but would u exclude reye's syndrome bec its commoner in infants and children.
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| piter
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yes disease is measles and - this infection suppress cell-mediated immunity (other diseases are sarcoidosis, lymphoma, AIDS) - and loss of PPD skin test accuracy is a common future. For Reye's they have to mantion about some "pills" or somthing else, anyway it ts a not Best answer
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| asmi
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Ye, they would have mentioned about H/o drug Tx ...to point towards reye
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| Idiopathic
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The question states: 'which is a complication of this illness'...reye's is definitely a potential complication of measles.
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| kalsam
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Yes I agree..the question is which is the known complication of this Infection???
But not the treatment part...
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