FIGURE 22.16 Shingles The rash resembles that of chickenpox, except that it is limited to a sensory nerve distribution on one side of the body.
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Can you catch chickenpox or shingles from a person with shingles?
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- This 19-year-old college student went to the Student Health Services because she had a slowly developing rash on both earlobes, hands and wrist, and around her neck. Her medical history revealed that she had eczema in childhood. During her early teens, she had facial acne, for which she was given tetracycline. Physical examination revealed a rash of erythema and small blisters, with marked excoriation because of the itching. Her hands were red, scaly, and dry. The rash on her hands was different from the eruptions on her neck and ears. A contact hypersensitivity was suspected. Follow-up patch tests included a standard battery of agents—rubber, cosmetics, plant extracts, perfumes, nickel, and makeup. Strongly positive reactions for rubber and nickel were observed. The student was advised to eliminate contact with rubber (e.g., rubber gloves) used at home or on the job. Her jewelry probably contained nickel and was believed to be the source of the irritation to her earlobes, neck, and…A 17-year-old boy presents to his pediatrician for evaluation of a rash in his genital area. He reports that it is very itchy and started about 1 week ago. At school, he participates in multiple sports, including wrestling with practice 3 times a week. He admits that he does not always wash his hands and often delays showering after practice. Physical examination reveals a red, scaly rash as shown in the attached image. Which of the following is the most likely cause of the rash? Answers A - E A Eikenella corrodens B Malassezia furfur C Mycobacterium marinum D Sporothrix schenckii E Trichophyton rubrum O O Question #22 attachment oThree-week-old Xavier Capelleto was brought to the emergency room with a bright scaly rash that first developed on his legs and then spread to his trunk and face. He also had blisters on his palms and the soles of his feet. Xavier’s parents said that he had been experiencing looser bowel movements than expected, a large amount of yellow pus had been accumulating around his swollen eyelids, and he showed signs of oral thrush. Tests revealed that Xavier’s lymphocyte count was only 8% of total white blood cells (normal = 50%), all immunoglobulins were markedly decreased except for IgE, and no thymic shadow was detected on a chest X-ray. Eosinophilia was also detected. His parents were told that Xavier had an autosomal recessive form of severe combined immunodeficiency (SCID) known as Omenn syndrome, which affects the development of both B cells and T cells. A bone marrow transplant was recommended; however, Xavier died from respiratory failure due to an opportunistic bacterial infection.…
- A 17-year-old boy presents to his pediatrician for evaluation of a rash in his genital area. He reports that it is very itchy and started about 1 week ago. At school, he participates in multiple sports, including wrestling with practice 3 times a week. He admits that he does not always wash his hands and often delays showering after practice. Physical examination reveals a red, scaly rash as shown in the attached image. Which of the following is the most likely cause of the rash? Answers A - E A Eikenella corrodens B Malassezia furfur C Mycobacterium marinum D Sporothrix schenckii E Trichophyton rubrum O O O O55) A 48 year old man who emigrated from India comes to the physician because of a 6 month history of scale, well demarcated rash on his forehaed . Physical examinationhypopigmented rash with anesthetic cewnter over the left side of the forehead. A biopsy speciment of the affected skin shows clusters of epithelialcwels and occassional ginatcells surrounded by lymphocyteswith rare acid fast bacilli. Which of the following cytokine patterns is most likely exhibited by CD 4+ T-lymphocyte clones responding to this infection A) Interleukin-1( IL-1) and Il-8 (B) IL-2 and interferon gamma (C) IL-4 and IL-10 (D) Il-5 and IL-12 (E) IL-6 and Tumor necrosis factor alphaWalter teaches primary school and his class has suffered an outbreak of chicken pox(varicella). Walter notices that a number of the children who have previously suffered from chickenpox do not catch the infection during this outbreak. Explain this observation.
- The inflammatory lesion that is described as a raised collection of pus is ___. A classic example is an acne pimple.A 6-year-old male is brought to his pediatrician's office with chickenpox. He has had symptoms for one week, and his mother is concerned about the patient's 8-year-old sister because she had a long, painful chickenpox infection 2 years prior. Of note, the patient was not vaccinated against chickenpox because his parents did not think it was a serious enough virus to warrant the pain of the injection. 5) Which of the following explanations correctly represents how this patient could have been protected from chickenpox infection? A) He would not have been infected if he were breastfed as a baby because he would have passive natural immunity. B) He would not have been infected if his mother had gamma globulin administered during pregnancy because he would have passive artificial immunity. C) He could have been protected from infection if he received active artificial immunity through the form of a vaccine. D) He may have a primary immunodeficiency disease because healthy humans are not…A 42 year old man comes to the physician because of a discoloration on his right leg for six months. It first look like a bruise, but they didn’t gradually increase in size and did not change color. He works as an adventure tourism guide and has led numerous trips to central Africa, south east, Asia, and South America. Physical examination shows 4.2 cm purple macule with irregular borders on the right calf. Which of the following is the most likely causal virus? M A) cytomegalovirus B) Epstein bar virus C) herpes simplex virus one D) human herpes virus eight E) human papilloma virus type 16 F) parvovirus B19 G) varicella zoster virus
- A 60 year old man has a paintul rash that extends trom his posterior midline to his anterior chest, in an approximately 3 inch band roughly following the curve of a rib. He has a hist that includes chickenpox. What is the probably diagnosis? Poliomyelitis OShingles OReynauds MeningtisWhat is butterfly (malar) rash?What causes Corona viruses? What skin layer does it effect first? What are the main symptoms?
