A 38-year-old bus driver complains of an uncomfortable rash for the last few days. The rash started at the left axilla gradually three weeks ago and is progressive. The rash is inflammatory, bilateral and involves both axillae. Her physical examination reveals an erythematous round area with a group of vesicles arising from the noninflammatory base and skin erosion in the intertriginous areas. The lesions are pruritic and associated with a stinging and burning sensation, but there is no sign of scar, fissure or pustules, as shown below. These lesions are also worsened when she wears tight shirts and malodorous, particularly after exercise. Her PMH shows a similar reoccurring lesion and spontaneous recovery over the past eight years. Her father and sister have similar lesions that come and go. Which diagnoses are correct,

Based on the patient's history and physical examination?

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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