Audio Qbank – Q309 – A 62F with hepatitis C

 

A 62-year-old woman with chronic hepatitis C presents to the physician for a 2-week history of discoloration of her lower extremities. Laboratory studies show decreased serum complement protein C4. A photograph of the patient’s legs is shown.

The pathophysiology of this patient’s acute presentation is most similar to which of the following?

Anaphylaxis
Arthus reaction
Contact dermatitis
Graft-versus-host disease
Heparin-induced thrombocytopenia

 

Cut-to-the-chase Answer (0:35):