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Dermatology · Fungal infection: tinea corporis
Sample itemA patient has an itchy annular plaque with a scaly advancing edge and central clearing on the trunk. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Tinea corporis
Tinea corporis is dermatophyte infection of glabrous skin and produces an annular lesion with an active scaly edge. Diagnosis can be confirmed by skin scrapings when uncertain.
Option by option
A. Psoriasis
Psoriasis plaques are more uniformly scaly and well demarcated.
B. Nummular eczema
Nummular eczema causes coin-shaped eczematous plaques without an active fungal edge.
C. Cellulitis
Cellulitis is diffuse warm bacterial inflammation, not an annular scaly lesion.
D. Tinea corporis (correct)
Correct. Annular scaling with central clearing is classic ringworm morphology.
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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