Author Question: A patient presents with vesicles on a reddened base in a symmetrical pattern on the lower neck and ... (Read 79 times)

laurencescou · **on:** Jun 25, 2018

A patient presents with vesicles on a reddened base in a symmetrical pattern on the lower neck and upper back, stating that he had noticed discomfort prior to the onset of the rash. Which of the following should be considered in your differential diagno

A. Dermatitis herpetiformis
B. Herpes zoster
C. Dishydrosis
D. Contact dermatitis

Question 2

What kind of lesions are caused by the herpes simplex virus?

A. Scales
B. Vesicles
C. Plaques
D. Urticaria

missalyssa26 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Pruritus, burning, or stinging at the site often precedes the development of skin lesions. The lesions consist of clustered vesicles on a reddened base. The lesions have a herpetiform configuration, and the distribution is symmetrical. The extensor surfaces of the knees and elbows are often affected, as are the posterior scalp, neck, back, and thighs.

Answer to Question 2

ANS: B
The skin lesions of herpes consist of multiple vesicles, which cluster and are usually preceded by an area of tender erythema. The vesicles erode, forming ulcerations.