What kind of rash is this?

Dec 8th, 2015
DreamIt
Category:
Health & Medical
Price: $5 USD

Question description

I need to know what type of rash is indicated in this case study and what evidence you have to support the reasoning. Thank you!

Case Study

AT is a white woman, age 62, complaining of fatigue, arthralgias of both hips and knees and the small joints of both hands, and a red, scaly rash on her upper torso, extremities, and face. She says that sunlight aggravates the rash and that she has had all of these problems for approximately 2 months, but is most disturbed by the itching rash.  She says the rash has made her very depressed, and she has trouble sleeping at night and concentrating at work during the day.

PMH
AT has a history of allergies to penicillins, osteoarthritis for 10 years, depression for 4 years, severe gastroesophageal reflux disease and hypertension for 7 years

Medication:

Fluoxetine (Prozac) 20mg QD

Hydralazine 50mg BID

Naproxen 500mg BID

Diltiazem (Cardizem) CD 120mg QD

Lansoprazole (Prevacid) 30mg QD

AT is very compliant

SH:  no tobacco or alcohol use

Physical Examination:
GEN:  Obese female who appears anxious about her condition
VS:  BP 130/70, HR 72, RR 20, T 98.6, Wt 179lb, Ht 5'3''
HEENT:  patient has circular, erythematous, scaly plaques on cheeks of face, upper torso, and upper extremities
COR:  WNL
CHEST:  WNL
ABD:  WNL
GU:  WNLt
EXT:  rash, limited range of motion of both knees and hips; pain upon movement of hands, but no noticeable swelling
NEURO:  WNL

Laboratory:  WNL


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