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An eight year old boy presented to the casualty with high fever, pruritic erythematous rash, joint pain and lymph node enlargement. There is a history of upper respiratory tract infection for which he was on cefaclor 8 days completed of a 10 day course. The most likely diagnosis is? A. Serum sickness like illness B. HSP C. Type III hypersensitivity D. Kawasaki disease
Correct answer : A. Serum sickness like illness Serum sickness like reaction can occur following the use of certain drugs, especially cefaclor in children. It presents with an urticarial / purpuric rash, arthritis, lymphadenopathy and fever. But unlike true serum sickness (a type III hypersensitivity response), it is not caused by circulating immune complexes.
Correct answer : B. Thyroid Dyshormonogenesis Among the options given, only Thyroid Dyshormonogenesis presents with a palpable goiter
Correct answer : B. Dexamethasone Steroids should not be used in management of infants with asphyxia.
B. 24 hours after birth C. 48 hours after birth D. 72 hours after birth Correct answer : A. Cord blood