A 12-Year-Old Boy Is Brought to the Office Due to a Week

question 295

Multiple Choice

A 12-year-old boy is brought to the office due to a week of nonproductive cough and rash.  He has also had low-grade fevers, malaise, and headaches.  The patient has no prior medical conditions and is up to date with immunizations.  Lung examination reveals bilateral crackles and wheezes.  There is a diffuse rash on his torso and extremities as shown in the exhibit. 
Which of the following is the most likely cause of this patient's skin lesions?

• A)Cytotoxic T-cell-mediated epithelial injury
• B)Inflammatory reaction in subcutaneous fat
• C)Keratinocyte hyperproliferation and parakeratosis
• D)Subepidermal immunoglobulin A deposition
• E)Vasoactive mediator release from mast cells

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Definitions:

Contract

A legally binding agreement between two or more parties that is enforceable by law, characterized by an offer, acceptance, consideration, and mutual intent to be bound.

Objective Determination

A decision made based on unbiased evidence and facts, without influence from personal feelings or opinions.

Consideration

An essential element in contract law, referring to something of value exchanged between parties as part of an agreement.

Consideration

In contract law, the value (which could be an object, service, money, or promise) that is given in exchange for a promise or performance by another party.