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Dermatology · Rosacea
Sample itemA middle-aged adult has recurrent central facial flushing, persistent erythema, telangiectasia, and papules but no comedones. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Rosacea
Rosacea causes central facial erythema, flushing, telangiectasia, and papulopustular lesions without comedones. Triggers may include alcohol, heat, and spicy food in susceptible patients.
Option by option
A. Systemic lupus erythematosus
Lupus rash has a different clinical context and systemic associations.
B. Impetigo
Impetigo produces infectious honey-colored crusts.
C. Acne vulgaris
Acne includes comedones and commonly affects younger patients.
D. Rosacea (correct)
Correct. Absence of comedones with flushing and telangiectasia favors rosacea.
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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