Answer: C. Lichen planus. Hypertension in individuals with HCV can be a symptom of several extrahepatic conditions: nephropathy, cryoglobulinemia, and membrane proliferative glomerulonephritis. Lichen planus is a skin manifestation of HCV infection that appears as flat-topped, purple, itchy bumps that usually appear on the flexor surfaces of the arms and legs.2
3. People with chronic HCV infection are at increased risk for developing type 2 diabetes (T2DM). In this case, insulin resistance is caused by HCV and weight reduction is not considered central to management.