Task: Question Answering
Input (English): Question: Question linked to image no. 9 To rule out situations that may simulate the patient's manifestations and establish a differential diagnosis, we must continue with the interrogation. One of the following habits or antecedents would be difficult to relate to the facial alterations observed. Point out which one. 
 Options:  <1> Habit of stretching the hairs (trichotillomania). <2> A sexually transmitted disease <3> Contact with people or geographic areas with leprosy. <4> Drug intake. <5> History of hyperuricemia.
Output (English): 5