After a short break welcome to our new case! This week we start in general practice. 
A 20 year old lady attends who found out she was pregnant 4 weeks ago. Her dating scan at the time showed that she was around 28 weeks pregnant. Bloods at booking showed

Hb 105

Mcv 79

Plt 105

Neut 2.5

Wcc 7.4

She forgot her appointment for repeat bloods and has come to see you because she has developed a rash on her arms. 

It’s slightly itchy and she is wanting something to help it go away. (Rash pictured below)

What do you think the rash is? 

Are there any treatments you would start?

What would you like to ask in the history?

Are there any investigations you would like to do? 

Join us on Twitter @TeamHaem and let us know what your thoughts are, what questions you have and what you want to do as we see this case evolve over the next week. Remember to use #teamhaem on all your posts to help us follow the case! Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality. TeamHaem are not a position of authority. It is an educational platform to allow discussion and learning.