A 69-year-old man develops a pruritic, purple, Papular Rash after successful HCV treatment. Explore the diagnosis, key features, and management options.
A 69-year-old man presented to the dermatology clinic with a 2-month history of a pruritic rash. The rash first appeared on his right wrist and within 2 weeks had spread to his arms, legs, and trunk. He had completed treatment for chronic hepatitis C virus (HCV) infection with a 12-week course of elbasvir and grazoprevir 3 months before the onset of the purple papular rash. Some lesions showed a fine reticulate pattern of dots and lines (Wickham’s striae). What is the diagnosis?
What is the most likely diagnosis?
Autoimmune, Hepatitis C, Lichen planus, Pruritus, Wickham’s striae