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A 27-Year-Old Man Visits the Office to Have a Rash

Question 153

Multiple Choice

A 27-year-old man visits the office to have a rash on both knees evaluated. The rash was first noticed by the patient two months ago. He has no other medical issues and does not take any medications. Every day, the patient smokes a half pack of cigarettes. Vital signs are typical. The image below shows his knee: 11ec160b 3ba6 a1a6 9249 23f25062731b MD0001 00 The removal of the scale causes minor bleeding points. A topical vitamin D analog is prescribed as part of the treatment regimen. This medication is most likely to improve this patient's condition via which of the following mechanisms?


A) Decreased activity of tyrosinase enzyme
B) Decreased levels of irritating fatty acids
C) Increased production of dermal cytokines
D) Inhibition of dermal cyclooxygenase
E) Inhibition of keratinocyte proliferation

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