Dermatological Examination Case 2

1. Question

An 18-month-old child presents to the ED with a rash (image, right), that has appeared over the last week. Her mother states that she has never had it before.

Select true or false for the following statements.

Image reproduced with permission from CDC/Allen W. Mathies, MD

The lesions are annular
The lesions are scaly

2. Question

Further examination reveals oral mucosal involvement (image, right) and the mother states that her child is finding it painful to eat and drink.

You take a full history from the patient’s mother. Which points below could be the most relevant in this case?

Image right reproduced with permission from CDC/Allen W. Mathies, MD

Prior to the rash appearing she had a flu-like illness
The lesions are not itchy
The patient is a type 1 diabetic on insulin

3. Question

Given the likely diagnosis of Stevens-Johnson syndrome, which of the following statements are true?

This condition occurs more commonly in women than in men
Drugs such as phenytoin or penicillin are associated with this condition
A biopsy would be an appropriate specialist investigation