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A 32-year-old man presents complaining of severe - fmg22
#1
A 32-year-old man presents complaining of severe pruritus over the past 2 weeks. He has a history of ulcerative colitis for the past 7 years, which has remained well controlled on sulfasalazine and cortisone enemas. His physical examination is unremarkable except for evidence of diffuse excoriations on his extremities and trunk. Laboratory studies reveal a mild iron deficiency anemia and normal electrolytes. Liver function tests are normal, except for an alkaline phosphatase that is 322 U/L (normal, <110 U/L). Which of the following is the most likely explanation for his symptoms?

A. Erythema nodosum


B. Hepatitis C


C. Primary biliary cirrhosis


D. Primary sclerosing cholangitis


E. Pyoderma gangrenosum



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#2
d....
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d
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DDD
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