1. Sandra aged 35 works as a school teacher present to you with a 1-week history of intensely itchy rash. Her examination is normal apart from an itchy rash involving her trunk, limbs, fingers, palms of her hands, toes, and soles of her feet. The rash does not affect her face or scalp. She suffers from epilepsy for which she is on sodium valproate. The picture of the rash is given below.

Question 1

What is your diagnosis?

2. Sandra aged 35, a school teacher, presents to you with a 1-week history of intensely itchy rash. Her examination is normal apart from an itchy rash involving her trunk, limbs, fingers, palms of her hands, toes, and soles of her feet. The rash does not affect her face or scalp. She suffers from epilepsy for which she is on sodium valproate. The picture of the rash is given below.

Question 2

How will you manage Sandra? Write (4) management steps in note form.