Reference no: EM133857526

Question

This patient is a 36-year-old overweight female with a PMH of type 2 diabetes who reports two weeks of progressively worsening, 6/10 itchy, circular rashes on both thighs. She has used an over-the-counter topical steroid for three days and reports intensified redness and a burning sensation. Reports beginning workouts at an indoor pool. She denies fever, recent travel, exposure to known irritants or new skin products, recent skin injuries, insect or animal bites, or any infections. Physical exam reveals multiple circular lesions on the bilateral thighs with raised borders, central clearing, and associated erythema and scaling. No discharge, palpable nodules, fluctuance, vesicles, or pustules are present.