USMLE Question of the Week

Evaluating Violaceous Papules in an 8-Year Old

In Episode 13 of Med School Question of the Week for USMLE, Luke Maxfield, MedSchoolCoach expert tutor, answers this medical school question: An 8-year-old male is brought in by his mother to the emergency room department with the chief complaint of rash. The review of systems is notable for arthralgias and abdominal pain. The physical exam reveals palpable, non-blanching, violaceous papules and nodules as shown in the image provided. Laboratory examination reveals a complete blood count, complete metabolic panel, and urinalysis within normal limits. What is the most appropriate treatment?
  1. IV methylprednisolone
  2. Oral prednisone
  3. Cyclosporine
  4. Observation
  5. Oral methotrexate
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Luke Maxfield

Luke obtained his B.S. from the University of Colorado while working at the University of Colorado Anschutz Medical Campus department of pathology as a student researcher. He completed studies at the University of Tennessee at Chattanooga and is a current dermatology resident. Luke scored in the 99th percentile on his COMLEX exams.

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