A 34-Year-Old Man Comes to the Office Due to a Persistent

question 780

Multiple Choice

A 34-year-old man comes to the office due to a persistent skin rash.  He has a 6-month history of a scaly rash involving the upper and lower extremities that is associated with mild pruritus.  The patient has attempted treatment with topical antihistamines and emollients without relief.  Medical history is notable for childhood asthma and orolabial herpes simplex virus infection.  He does not use tobacco or alcohol and works as a sales associate for a home improvement store.  On examination, the patient has skin lesions as shown in the image below. This patient's disorder is most likely associated with which of the following extradermal complications?

• A)Chronic glomerulonephritis
• B)Deforming joint disease
• C)Medullary thyroid cancer
• D)Peripheral neuropathy
• E)Pulmonary fibrosis

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Definitions:

Horizontal Merger

A business consolidation that occurs between firms that operate in the same industry, often aiming to create synergies and improve competitive position.

Cultural Integration

The process of blending and harmonizing different cultural practices, values, and norms within an organization or society.

Cultural Pluralism

A concept where small groups within a larger society maintain their unique cultural identities, and their values and practices are accepted by the wider culture provided they are consistent with the laws and values of the wider society.

Cultural Assimilation

The process by which individuals or groups from differing cultural backgrounds come to adopt the dominant culture's norms and values.