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DAILY FREE MCQ CHALLENGE for Medical PG Preparation
Question
Erythema marginatum is seen in:
A. Sexual assault
B. Genuine stress incontinence
C. Prolapsed of uterus
D. Fallopian tube block
TIPSImportant Question from DELHI 2010
See Answer Here
B. Genuine stress incontinence
See Explanation Here
Acute rheumatic fever (ARF)
- It is a systemic, immune-mediated disease that is triggered by pharyngeal infection with group A streptococci (GAS).
- Fever, migratory polyarthritis, and carditis are the most common clinical manifestations.
- ARF is most frequent among 5–15 year olds with a declining incidence in adults.
- ARF affects the heart, it usually involves the endocardium, myocardium, and pericardium to varying degrees.
- Erythema marginatum occurs in less than 2% of patients.
- It is an erythematous, flat, serpiginous macular rash with pale central clearing.
- The rash usually occurs on the trunk and extremities and characteristically spares the face. The rash waxes and wanes and may be transient.
- A dose of benzathine penicillin or 10 days of oral penicillin or erythromycin is recommended.

References
Chapter 52. Rheumatic Fever. In: Imboden JB, Hellmann DB, Stone JH. eds. CURRENT Rheumatology Diagnosis & Treatment, 3e. Reference link
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