BOF 50

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BOF: 50

A 26-year-old male presents complaining of a rash over his upper trunk and arms. He is an Asian who has recently arrived in the UK.

On examination there are sharply demarcated depigmented macules over the upper trunk and arms with fine scaling. There is no loss of sensation over the macules, no loss of sweating, no lymphadenopathy, no thickened nerves are palpable and the patient is afebrile.

Your next line of action in dealing with this patient would be to:

a)      Take skin scrapings and examine them for fungi

b)      Do a TPHA test

c)      Take a skin biopsy

d)      Examine a slit skin smear for acid fast bacilli

e)      Give local treatment with topical imidazole

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