Repeated USMLE Questions Step 2 CK- 320

A 32 year-old man with a history of HIV infection visits his physician for evaluation of a rash. He has erythema with scale at his hair line and nasolabial folds. He also has erythema with scale on both axillae and chest. He used local hydrocortisone cream without any improvement.

What is the most likely diagnosis?

A- Atopic dermatitis

B- Contact allergic dermatitis

C- Scabies

D- Acne vulgaris

E- Rosacea

Answer:






This is a typical presentation of rosacea. It is very common with HIV infection and not relieved by low dose hydrocortisone. The affected sites and description of this lesion are typical for rosacea.

The correct answer is E