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A 29-Year-Old Man Is Evaluated for a Skin Rash Involving

Question 11

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A 29-year-old man is evaluated for a skin rash involving his hands, feet, and scalp for the last 2 weeks.  The rash is mildly pruritic and has progressively worsened.  The patient has a history of HIV and is not adherent with antiretroviral therapy.  Skin examination shows erythematous patches with scales and crusting.  Biopsy of the rash shows organisms burrowed in the epidermis, as shown below: A 29-year-old man is evaluated for a skin rash involving his hands, feet, and scalp for the last 2 weeks.  The rash is mildly pruritic and has progressively worsened.  The patient has a history of HIV and is not adherent with antiretroviral therapy.  Skin examination shows erythematous patches with scales and crusting.  Biopsy of the rash shows organisms burrowed in the epidermis, as shown below:   Which of the following is the most appropriate treatment for this patient? A) Systemic acyclovir B) Systemic terbinafine C) Topical glucocorticoid D) Topical mupirocin E) Topical permethrin Which of the following is the most appropriate treatment for this patient?


A) Systemic acyclovir
B) Systemic terbinafine
C) Topical glucocorticoid
D) Topical mupirocin
E) Topical permethrin

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