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Dermatology · Eczema: atopic dermatitis
Sample itemA child has chronic pruritic flexural eczema, dry skin, and a personal history of wheeze. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Atopic dermatitis
Atopic dermatitis is a chronic relapsing itchy inflammatory dermatosis associated with skin-barrier dysfunction and other atopic disease. Emollients and anti-inflammatory topical therapy are key treatments.
Option by option
A. Atopic dermatitis (correct)
Correct. Flexural itch with atopic history is typical.
B. Tinea corporis
Tinea corporis is annular with an advancing scaly edge.
C. Impetigo
Impetigo causes superficial crusted bacterial lesions.
D. Plaque psoriasis
Psoriasis usually causes well-demarcated extensor plaques with scale.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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