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q..derm - rajvedi - Printable Version

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q..derm - rajvedi - ArchivalUser - 07-16-2009

35y/o came to office with c/o violaceous papules and plaques on flexural surfaces of extremities.
on examination he has whitish lacy pattern on buccal mucosa.Bx confirmed the dx.what is the next step mx?



a.pcr rna hepc
b. itraconazole
c.smallbowel bx
d.cthead
e,ELISA hiv


0 - ArchivalUser - 07-16-2009

pt has liche planus...aa


0 - ArchivalUser - 07-16-2009

small bowel Bx-seems like coeliac spru==>dermatitis herpetiformis.


0 - ArchivalUser - 07-16-2009

and mouth ulcer.


0 - ArchivalUser - 07-16-2009

its whitham stria..


0 - ArchivalUser - 07-16-2009

sorry I'm sleepy i guess,my mistake.
it cant be CP,lesions are on flexors whereas in CP its on extensors and yes u r rt,whickham stria--No doubt A. Smile


0 - ArchivalUser - 07-16-2009

not sure what the extra tests are for....


0 - ArchivalUser - 07-16-2009

a..

lichen planus is associated with hep c , next step check pcr RNA hepc