A woman with diabetes has an enlarging pretibial plaque with a raised red inflammatory rim and a shiny yellow atrophic telangiectatic centre. If a

Question

A woman with diabetes has an enlarging pretibial plaque with a raised red inflammatory rim and a shiny yellow atrophic telangiectatic centre. If a potent topical corticosteroid is chosen, where should it be applied?

Accepted Answer

To the active leading inflammatory edge while avoiding the atrophic centre

Answer

To clinically normal skin several centimetres beyond the advancing border

Answer

Across the entire plaque under occlusion including the thinnest central skin

Answer

Only to the shiny atrophic centre where telangiectasia is most visible

Answer

Directly into any ulcer base without assessing for infection or malignant change

Wound Dressings — SCE Dermatology MCQ

A woman with diabetes has an enlarging pretibial plaque with a raised red inflammatory rim and a shiny yellow atrophic telangiectatic centre. If a potent topical corticosteroid is chosen, where should it be applied?