38-year-old high school teacher came to clinic complaining of rashes on his forearm, arm and upper chest. Rash appeared gradually four months ago, is intermittent, getting worse. Skin lesions are not painful but are associated with exercise, it appears after a workout and lasts for a few hours, and then it resolves. He is not taking any medication or using new skin supplements, and he denied fever, weight loss, joint pain, cold or heat intolerance, abdominal pain or any bone pain. He also denied having a familiar history of skin, thyroid or rheumatologic disease. On physical examination, skin temperature was normal; on the right forearm, raised erythematous plaques that are intensely pruritic was noticed, as is shown in the image below. Which of the following is the most likely diagnosis,

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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