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What clue points to the cause of this pruritic rash?

What clue points to the cause of this pruritic rash?

Eczema is confined to the dorsum of a 37-year-old woman's hands. She had been applying an over-the-counter, topical antifungal cream but noted no change in the rash. The patient is a hairdresser and enjoys kickboxing.

What is your course of action?

A. Perform a potassium hydroxide evaluation.

B. Prescribe a topical corticosteroid cream.

C. Advise the patient to wear gloves when washing, dyeing, or styling hair.

D. Perform a patch test for allergens in the workplace.

E. Advise the patient to give up kickboxing.

(Answer on next page.)

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