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Dermatology · STI: HIV and seborrhoeic dermatitis
Sample itemA young man has severe, extensive seborrhoeic dermatitis resistant to usual therapy and recurrent oral thrush. Which test is most appropriate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. HIV serology
Sudden severe or refractory seborrhoeic dermatitis, along with recurrent candidiasis, can be an early sign of HIV infection. Voluntary counselling and testing is recommended in India. It is not a typical sign of connective tissue disease.
Option by option
A. Thyroid function tests
Thyroid disease does not explain severe dermatitis with thrush.
B. Anti-nuclear antibody
ANA is not indicated by this picture.
C. HIV serology (correct)
Correct. Refractory seborrhoeic dermatitis with thrush should prompt HIV testing.
D. Serum ferritin
Ferritin addresses iron stores.
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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