NBME form1Q, Skin rash - nida

[ArchivalUser]

A previously healthy 16-year-old high school wrestler comes to the physician because of a rash on his forearms and the back of his legs for 1 week. He is allergic to pollen and dust. Examination shows patches of erythema with mild lichenification over the antecubital and popliteal fossae. There are clusters of painful umbilicated vesicles at sites of active skin inflammation. Which of the following is the most likely diagnosis?

A) Eczema herpeticum

B) Herpes zoster

C) Keratosis pilaris

D) Lichen planus

E) Pityriasis rosea

[ArchivalUser]

answer is b..please correct me if iam wrong..

[ArchivalUser]

I don't think B is the answer.

[ArchivalUser]

---) A

[ArchivalUser]

A--- Umbilicated vesicles usually mean either molluscum contaguosum or eczema herpeticum. Combine this with the location of the rash and lichenification.