SAQ 1192 – Tender lower-limb rash after travel

Marked out of 12.00

A 29-year-old South African woman presents with a 5-day history of painful, red, raised lesions on her legs and general lethargy. The lesions are tender and she is otherwise well. She reports a recent nonspecific flu-like illness.

She takes thyroxine 100 micrograms daily, salbutamol inhaler as required and ethinyloestradiol/drospirenone 3/0.02 one tablet daily. She recently returned from sub-Saharan Africa. A clinical photograph is shown below.

Clinical photograph of tender nodular lesions on the lower limbs
Clinical photograph of lower-limb rash.

Briefly describe the characteristics of the rash shown.

(Marked out of 2.0)


/ 2

State the name of this rash.

(Marked out of 1.0)


/ 1

List three (3) specific causes for the rash shown.

(Marked out of 3.0)


/ 3

List and justify two (2) investigations to diagnose the cause in the ED.

(Marked out of 4.0)


/ 4

State two (2) initial management steps.

(Marked out of 2.0)


/ 2

Total Score: 0 / 12

Percentage: 0%