Q- A 6-year-old boy presents with fever, malaise, cough, running nose and conjunctivitis. His past medical history indicates that he did not receive any immunizations due to his parents’ religious beliefs. On examination, his temperature is 102.7 F and there are white spots on a red base close to his second molar teeth. He also has a non-pruritic, maculopapular rash on his face, behind his ears, and spreading to his chest. What is the most likely diagnosis?
A- Chickenpox
B- German measles
C- Measles
D- Mumps
E- Smallpox
Answer and Explanation
This patient has systemic lupus erythematosus (SLE) and has been on prednisone (a glucocorticoid) for 3 months. Prednisone is associated with multiple side effects, including hyperglycemia, dyslipidemia, and hypertension, all of which increase the risk of cardiovascular disease. This risk is compounded by her history of 15 years of smoking and suboptimal adherence to diet and exercise. Regular monitoring of blood glucose and serum lipids is essential to assess and manage these risks.
The correct answer is C
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