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CHaPter 44  Atopic and Contact Dermatitis           624.e1


              MUL ti PL e -CHO i C e  QU e S ti ONS

           1.  Immunodeficiencies  with  eczematous  rash  that  may  be   3.  Which of the following is a TRUE statement regarding atopic
             misdiagnosed as atopic dermatitis include all of the following   dermatitis?
             EXCEPT:                                                 A. Downregulation  of a  number  of antimicrobial  peptide
              A. Wiskott-Aldrich syndrome (WAS)                        genes caused by local upregulation of Th2-type cytokines
              B. Properdin deficiency                                  could explain the increased susceptibility of patients with
              C. Immunodeficiency with mutations in dedicator of cyto-  atopic dermatitis (AD) to cutaneous infections.
               kinesis 8 (DOCK8)                                     B. Serum levels of thymus and activation-regulated chemokine
              D. Immune dysregulation, polyendocrinopathy, enteropathy   (TARC) rise with successful treatment.
               X-linked (IPEX) syndrome                              C. Patients whose AD has been in remission for >5 years are
                                                                       no longer at increased risk for eczema vaccinatum from
           2.  The TRUE statement regarding filaggrin is:
              A. Mutations in the gene encoding filaggrin (FLG) occur only   smallpox vaccine.
               in patients of European Caucasian descent.            D. Langerhans cells are the primary source of antimicrobial
              B. Filaggrin is an enzyme that regulates breakdown of the   peptides in skin.
               epidermal barrier.                                 4.  Which of the following is the MOST common contact
              C. T-helper 2 (Th2) cytokines interleukin-4 (IL-4) and IL-13   allergen?
               can downregulate FLG gene expression.                 A. Neomycin
              D. Abnormal filaggrin expression in bronchial epithelium    B. Nickel
               leads to increased risk of asthma.                    C. Paraphenylenediamine
                                                                     D. Cocamidopropyl betaine
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