6th February 2024

A 43-year-old female with severe agoraphobia has been housebound for 18 months.

A 43-year-old female with severe agoraphobia has been housebound for 18 months. She has a diet made exclusively of frozen sausages and burgers. Due to health concerns, she was brought into the hospital following a welfare check. 

Examination reveals widespread petechiae along his upper and lower limbs with corkscrew hairs. Several patches of ecchymosis were noted. Dry eyes with subconjunctival haemorrhage were noted. The patient also had bleeding gums. His coagulation screen, platelet count and vWF level were normal. 

Which of the following treatments are indicated in this case?