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General Medicine General 334c66c5

A 24-year-old woman presents with an earache of 4 days in duration. She also reports increased urine production, a skin rash, and bone pain on her scalp. Physical examination reveals otitis media, dermatitis, and exophthalmos. An X-ray of the scalp shows calvarial bone defects. A fine-needle aspirate displays numerous eosinophils. Which of the following is the most likely diagnosis?

A
Hodgkin lymphoma
B
Langerhans cell histiocytosis
C
Malignant melanoma
D
Metastatic breast carcinoma

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