I need to know what type of rash is indicated in this case study and what evidence you have to support the reasoning. Thank you!
AT is a white woman, age 62, complaining of fatigue, arthralgias of both hips and knees and the small joints of both hands, and a red, scaly rash on her upper torso, extremities, and face. She says that sunlight aggravates the rash and that she has had all of these problems for approximately 2 months, but is most disturbed by the itching rash. She says the rash has made her very depressed, and she has trouble sleeping at night and concentrating at work during the day.
AT has a history of allergies to penicillins, osteoarthritis for 10 years, depression for 4 years, severe gastroesophageal reflux disease and hypertension for 7 years
Fluoxetine (Prozac) 20mg QD
Hydralazine 50mg BID
Naproxen 500mg BID
Diltiazem (Cardizem) CD 120mg QD
Lansoprazole (Prevacid) 30mg QD
AT is very compliant
SH: no tobacco or alcohol use
GEN: Obese female who appears anxious about her condition
VS: BP 130/70, HR 72, RR 20, T 98.6, Wt 179lb, Ht 5'3''
HEENT: patient has circular, erythematous, scaly plaques on cheeks of face, upper torso, and upper extremities
EXT: rash, limited range of motion of both knees and hips; pain upon movement of hands, but no noticeable swelling