Pruritus (Assessment & Diagnosis) — 28yo Woman | Dermatology | MCCQE1 Q#13608
MCCQE1 Question #13608
Dimension of Care
Acute Care
Activity
Assessment & Diagnosis
Objective
Pruritus
Section
Medicine / Family Medicine
Subject
Dermatology
Last updated: February 2026
A 28-year-old woman presents with 2 weeks of severe pruritus that began on her wrists and spread to the interdigital spaces of her hands, lower abdomen, and buttocks. The itching is worse at night and has not improved with emollients. Examination shows multiple excoriated erythematous papules and thin serpiginous burrows on the volar wrists, interdigital web spaces, periumbilical area, and buttocks. There are no plaques with silvery scale and no facial involvement. What is the most likely diagnosis?
Full answer analysis and choices are available inside the practice session.
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