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A 27-Year-Old Woman Arrives at the Emergency Room with a One-Day

Question 640

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A 27-year-old woman arrives at the emergency room with a one-day history of skin rash. She experienced an incident of recurring vaginal lesions two weeks ago, which started as little papules and progressed to vesicular lesions with ulceration, crusting, and final healing. There are no additional medical issues or drugs that the patient is taking. Physical examination reveals that she is at ease. The temperature is 37 degrees Celsius (98.6 F) . Her oral mucosa shows tiny linear erosions. The picture below depicts skin results. A 27-year-old woman arrives at the emergency room with a one-day history of skin rash. She experienced an incident of recurring vaginal lesions two weeks ago, which started as little papules and progressed to vesicular lesions with ulceration, crusting, and final healing. There are no additional medical issues or drugs that the patient is taking. Physical examination reveals that she is at ease. The temperature is 37 degrees Celsius (98.6 F) . Her oral mucosa shows tiny linear erosions. The picture below depicts skin results.   Which of the following is the most likely diagnosis? A) Disseminated herpes simplex infection B) Erythema multiforme C) Primary HIV infection D) Stevens-Johnson syndrome E) Varicella Which of the following is the most likely diagnosis?


A) Disseminated herpes simplex infection
B) Erythema multiforme
C) Primary HIV infection
D) Stevens-Johnson syndrome
E) Varicella

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