Approach to common skin rashes Quiz: Ace Your Exams
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A 19-year-old man presents to the student health clinic at his college for an itchy rash on his right thigh. He first noticed a reddish area on his upper thigh three weeks ago, and two new lesions have appeared distally in the last five days. He says the rash is similar to eczematous rashes he has had in the past. He has not had a fever, chills, or malaise. Past medical history is significant for asthma and eczema. He is on the school wrestling team, and they are currently in-season, practicing 5 days per week. Temperature is 37.0°C (98.6°F), pulse is 60/min, respiratory rate is 16/min, and blood pressure is 110/70 mmHg. On physical exam, he is in no distress. Lungs are clear to auscultation. Skin examination reveals multiple annular raised patches with sharp erythematous margins on the right anterior thigh. The remaining skin surfaces are clear. Which of the following is the best next step in management?
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