Papulosquamous and inflammatory skin disorders Quiz: Ace Your Exams
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A 40-year-old woman presents to the office because of shortness of breath and nonproductive cough for the past two months. She reports that she often has to stop to catch her breath after climbing a flight of stairs to her apartment complex. She has seasonal allergies, for which she takes over-the-counter medications. Review of systems reveals occasional joint pain in the ankles and knees and painful swellings on the shins. The remainder of the history is noncontributory. Temperature is 37.2°C (99.0°F), pulse is 80/min, respirations are 20/min, and blood pressure is 125/80 mmHg. Physical examination shows mild tenderness of the knees and ankles and tender, immobile, erythematous nodules on the shins bilaterally. Chest x-ray shows bilateral hilar lymphadenopathy. CT-guided transbronchial biopsy is shown:
Reproduced from Flickr
Which of the following is the most likely underlying cause of this patient’s dermatologic lesions on the shins?
Reproduced from Flickr
Which of the following is the most likely underlying cause of this patient’s dermatologic lesions on the shins?
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