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Posted on May 13, 2020May 13, 2020 by Oshima

ACP internist MARCH 2020よりMKSAPクイズを紹介

ACP internist MARCH 2020よりMKSAPクイズをご紹介致します。

MKSAP Quiz: Persistent itching,odor of the feet

19歳男性が4-5か月持続する皮膚の痒みや肥厚と足の臭気のため受診しています。
手掌や足底に多汗症も認められます。その他の病歴に特記すべきことはなく、薬は何も服用していません。

身体所見ではバイタルサイン正常です。
皮膚所見を示します。

https://acpinternist.org/…/mksap-quiz-persistent-itching-od…

相当ひどい足の臭気があります。足指の爪に変化はなく、腋窩や鼠径リンパ節に異常を認めません。

皮膚擦過物のKOH直接鏡顕法では真菌成分は認めません。

次の選択肢の中で最も可能性が高い診断はどれか?

A. 掌蹠角皮症
B. 紅色陰癬
C. 脂漏性角化症
D. 点状角質融解症
E. 足白癬

正解と解説は、下記のリンクからご覧ください。
https://acpinternist.org/…/mksap-quiz-persistent-itching-od…

PRC委員 中田壮一

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Find Us

Address
C/O Vision Bridg, LLC.

Shin-kagurazaka building 2F
43 Tansu-machi, Shinjuku-ku, Tokyo 1620833 Japan

E-mail
office@acpjapan.org

 

Disclaimers

The findings and views expressed in the submitted article are his or her own and not an official position of the institution or the college.

Unless otherwise stated, this website and all content within this site are the property of the authors and are licensed under a Creative Commons BY Attribution 4.0 International license.

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