Question 1

Question

A 28-year-old female presents with a 3-month history of violaceous, flat-topped papules on her wrists and lower back associated with intense pruritus. Examination reveals white lacy streaks on the buccal mucosa bilaterally. She was recently started on antihypertensive medication 4 months ago. Histopathology shows hyperkeratosis, irregular acanthosis, and band-like lymphocytic infiltrate at the dermoepidermal junction. What is the most appropriate next step in management?

Accepted Answer

Discontinue current antihypertensive and start topical corticosteroids

Answer

Start oral prednisolone 1 mg/kg and continue current antihypertensive

Answer

Start oral methotrexate and continue current antihypertensive

Answer

Perform direct immunofluorescence and continue current medication

Autoimmune Skin Diseases — MCQs

Autoimmune Skin Diseases — MCQs

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