The Daily PANCE and PANRE Extended Edition: Question 37

A young female presents with several "target-like lesions" on her arms, legs, and thorax. She takes birth control pills and recently completed a ten-day course of penicillin. What is the most likely diagnosis?

  1. erythema multiforme
  2. erythema nodosum
  3. erysipelas
  4. pleurodynia
  5. erythema chronicum migrans

Answer: A

Erythema multiforme

Target lesions are erythema multiforme - commonly caused by drugs (many drugs) and some illnesses, like mycoplasma Another common problem with OCP's is erythema nodosum which causes PAINFUL purple nodules on the anterior shins.

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