Question

A 15-year-old girl has a 1-month history of urinary frequency without dysuria and recent onset of an itchy rash beneath both breasts. She has been gaining weight over the past year and regularly complains of fatigue. She is afebrile, with a weight greater than the 99th percentile and has an erythematous, macular rash beneath both breasts characterized by satellite lesions. Urinalysis is significant for 2+ glucosuria but no pyuria. Which of the following is the most likely diagnosis?

(A) Diabetes mellitus
(B) Fanconisyndrome
(C) Human immunodeficiency virus
(D) Occult malignancy
(E) Severecombinedimmunodeficiency(SCID)

Answer 1

(A) Diabetes mellitus

Step-by-step explanation:

A 15-year-old girl has a 1-month history of urinary frequency without dysuria and recent onset of an itchy rash beneath both breasts. She has been gaining weight over the past year and regularly complains of fatigue. She is afebrile, with a weight greater than the 99th percentile and has an erythematous, macular rash beneath both breasts characterized by satellite lesions. Urinalysis is significant for 2+ glucosuria but no pyuria. Therefore, the girl most likely has diabetes mellitus. This is because, eating food that is unhealthy can cause many health problems, including diabetes.