Best of Five 3.36

 

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BOF: 3.36

A 36-year-old female presents with joint and muscle pains of several years duration and an erythematous eruption over her nose spreading to the cheeks in a “butterfly” distribution. Investigations reveal renal involvement as well.

After initial treatment she goes into remission.

Which of the following may cause an acute relapse in this patient?

a)      Use of sunscreen

b)      Pregnancy

c)      Progesterone only contraceptive pill

d)     Hydroxychloroquine

e)      Penicillamine

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