Question of the Week # 126 and 127

Q126] A 25-year-old man presented to the dermatology clinic with a one-week history of papular lesions on penis. He says they are very itchy. The lesions appeared about the same time on his hands as well. The patient has multiple sexual partners. His wife has similar a problem with itchy papules. The patient denied any penile discharge. On examination he has lesions consisted of firm papules about 1 to 4 mm in diameter. Some papules were present in the finger webs. There were excoriations on other parts of his body. Based on the patient’s history and physical examination, which one of the following is the most likely diagnosis?
A. Bullous pemphigoid.
B. Pemphigus vulgaris.
C. Genital herpes.
D. Scabies.
E. Syphilis.

Q127) The most appropriate treatment for this patient:

A. Imiquomoid
b. Permethrin
c. Liquid nitrogen
d. Acyclovir
e. Penicillin