Answers for CME examination for volume 5

Volume 7 Number 1 July, 1982

Se!f-Assessment e x a m i n a t i o n a n s w e r s

telephone presentation should suggest severe contact dermatitis (probably to nickel), leprosy, erysipelas, and relapsing polychondritis. The physical findings are typical of relapsing polychondritis, being present in nearly one third of cases at the onset, and in over 80% at some time during the disease. Involvement of joints (especially costochondral, sternomanubrial, and sternoclavicular) is seen in about 20% of cases o f relapsing polychondritis at the onset and 70% of cases during the disease. The additional finding of homseness strongly suggests laryngotracheal involvement, another site o f predilection for relapsing polychondritis.

Answers for CME

examination

49A

Laboratory findings are not diagnostic. An elevated sedimentation rate is most characteristic, being encountered in o v e r 90% o f cases. A complete blood cell count would be in order, as the disease frequently manifests anemia, leukocytosis, and/or eosinophilia. For obscure reasons, hyperglycemia may be seen in about one third of cases. R e c o m m e n d e d choices for this series at-e: 26, a, b, c, d; 27, c; 28, a, b, c. REFERENCE

1. Rosen T, Carr P: Relapsing polychondritis. Cutis 28:2?4282, 1981.

for volume 5

IdentificationNo. 882-306

Questions 1-32, covering J AM ACAD DERMATOL volume 5 with the exception o f CME articles. 1. c 2. C 3. e 4. c 5. d 6. a 7. c 8. d 9. d 10. a

ll.b 12. b 13. a 14. d 15. d 16. a 17. c

Guillet GY, Guillet JA, Blanquet P, Maleville J: J AM ACAD DERMATOL5:670-672, 1981 Yung CW, Soltani K, Lorincz AL: Ibid 54-60 Doyle JA, Muller SA, Rogers RS III, Schroeter AL: lbid 655-660 Matsuoka LY: lbid 595-599 Lang PG:Ibid 733-744 Piepkorn MW, Clark L, Lombardi DL: lbid 661-665 Lambert WC: lbid 609-610 Fathizadeh A, Rippon JW, Rosenfeld SI, Fretzin DF, Lorincz AL: lbid 423-427 Huff JC, Krueger GG, Overall JC Jr, Copeland J, Spruance SL: Ibid 550-557 Scheen SR III, Connolly SM, Dicken CH: lbid 183-190 Arlette JP, Johnston MM: Ibid 37-42 Massa MC, Doyle JA: lbid 32-36 Scott DW, Lewis RM. Ibid 148-167 Castrow FF II: lbid 64-66 Apisarnthanarax P: lbid 171-182 Watt TL, Kaiser JS: lbid 533-534 Nelson, DL, King RA: Ibid 297-303

18. 19. 20. 21. 22. 23. 24. 25. 26 27 28 29. 30. 31. 32.

d b b e a

Nelson DL, King RA: lbid 297-303 Nelson DL, King RA: lbid 297-303 Nelson DL, King RA: Ibid 297-303 Nelson DL, King RA: lbid 297-303 Fleischmajer R, Tint GS, Bennett HD: lbid 290-296 d Fleischmajer R, Tint GS, Bennett HD: [bid 290-296 c Flei'schmajer R, Tint GS, Bennett HD: lbid 290-296 a Fleischmajer R, Tint GS, Bennett HD: Ibid 290-296 a Callen JP, Hanno R: Ibid 401-4.05 a Callen JP, Hanno R: lbid 401-405 b Thompson JA Jr, Wansker BA: lbid 666-669 b Thompson JA Jr, Wansker BA: lbid 666-669 c,e Palestine RF, Kossard S, Dicken CH: Ibid 43-53 a, b, c, d, e Friedman-Kien AE: lbid 468-471 a, b, c, d, e Johnson RB, Goldsmith LA: lbid 191-196