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C.T. is a 39 year old female who presents for evaluation of what she thinks is her ‘rosacea

1)     C.T. is a 39 year old female who presents for evaluation of what she thinks is her ‘rosacea acting

up’. She has a history of acne rosacea and has medicated on and off for years with tetracycline and topical metronidazole. Today however she presents with a pronounced red/purple are on her left cheek extending to the nasal border. It is very warm to touch. The borders of the affected area are very well defined and raised. C.T. also has a temperature of 100.7oF and generalized headache. The AGACNP appreciates tender submandibular and cervical lymphadenopathy. The likely diagnosis is

a)     Complex rosacea

b)     Cellulits

c)      Erysipelas

d)     Allergic reaction

 
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