Q:

A 29 year old woman has developed an itchy scaly rash particularly over her wrist with fine white streaks overlying the lesion. Her nails have ridges and her buccal mucosa is lined with a lacy white pattern. What is the single most likely diagnosis?

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A 29 year old woman has developed an itchy scaly rash particularly over her wrist with

fine white streaks overlying the lesion. Her nails have ridges and her buccal mucosa is

lined with a lacy white pattern. What is the single most likely diagnosis?


  1. Psoriasis
  2. Scabies
  3. Urtericaria
  4. Dermatitis herpetiformis
  5. Hyperthyroidism
  6. Lichen planus

All Answers

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The key is F. Lichen planus. [“Lacy white pattern” is used as a diagnostic description of lichenplanus].

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