A 35-year-old male came to the clinic complaining of a persistent rash for the last three weeks, which started gradually and got worse. It initially appears on his trunk and extremities and progressively spreads to his face. He also reports tiredness and facial swelling, especially around the eyes. Denies any recent travel, changes in his diet or personal care products. He has no significant past medical history other than epilepsy, for which he is taking phenytoin. Vital signs are normal except for 39.2°C Temp. His physical examination reveals a deep red erythematous maculopapular rash with vesicles on his chest and upper extremities with facial swelling and periorbital sparing as shown in the image. The lab results show leukocytosis with eosinophilia, elevated liver enzymes, and atypical lymphocytosis. Which of the following diagnoses is most likely,

Based on the patient's history and physical examination findings?

Real-Life cases to ensure you are ready for your MCCQE1 Exam!

Ace Qbank Clinical Edge


Ace Qbank Clinical Edge

Making the proper diagnosis is one of the most important aspects of any medical student’s or junior doctor’s clinical training and hence we created Clinical Edge Cases.

Ace Qbank Clinical Edge helps our students put their knowledge of symptoms and physical findings to test by applying clinical reasoning and assessment concepts to a series of common clinical vignettes. Problem-based learning is being used to focus on the cause behind the presentation of a simulated clinical case.

Each simulated Clinical Edge case contains a list of common causes of the presented condition, offers abundant references to the presented case, making additional information easy to find

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