Consultant. Vol. 49 No. 8

Pages: 1 2

What caused this rash that resists antiviral therapy?

By DAVID L. KAPLAN, MD—Series Editor
University of Missouri Kansas City, University of Kansas | August 4, 2009

Dr Kaplan is clinical assistant professor of dermatology at the University of Missouri Kansas City School of Medicine and at the University of Kansas School of Medicine. He practices adult and pediatric dermatology in Overland Park, Kan.

Case 4:
At 1 week postpartum, a 32-year-old woman presents with an itchy rash of sudden onset. Famciclovir(Drug information on famciclovir), 500 mg bid, is prescribed, but the rash persists.

What do you suspect?

A. Pruritic urticarial papules and
plaques of pregnancy (PUPPP).
B. Grover disease.
C. Staphylococcal infection.
D. Candida folliculitis.
E. Scabies.

Which of the following diagnostic tests would you order?

F. Bacterial culture.
G. Fungal culture.
H. Viral culture.
I. Biopsy.
J. Potassium hydroxide(Drug information on potassium hydroxide) examination.

Which of the following would you prescribe for this breastfeeding mother pending the test results?

K. Cephalexin.
L. Mupirocin(Drug information on mupirocin).
M.Fluconazole.
N.Valaciclovir/famciclovir.
O.Triamcinolone cream.

(answers on next page)

Pages: 1 2

by cesar casas | September 09, 2010 1:44 AM EDT

Grover desease , biopsy and Triamcinolone cream

Derm August 2009

What underlies this persistent facial rash?

Workup for STIs is negative—how do you explain this penile lesion?

Is this mildly pruritic eruption a bacterial infection—or something else?

What caused this rash that resists antiviral therapy?

TOPIC INDEX

Developmental/Genetic

Nutritional/Metabolic

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What caused this rash that resists antiviral therapy?

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