[Answered]: Mr

Mr. K presents to the walk-in clinic with a chief complaint of, “I’ve got spots and I’m itching everywhere.” He has been seen at this clinic before in the past year for similar complaints. He is a 72-year-old male who presents with a three-week history of erythematous papules and plaques of the lower anterior, medial, and lateral legs, which have developed slowly and persisted. The condition worsened while using an over-the-counter neomycin antibiotic ointment. He has since discontinued the use of the ointment and his legs have slightly improved. Mr. K has experienced recurrent similar episodes. He complains of moderate lower leg pruritus. Slight tenderness and straw-colored, odorless drainage have developed over the past five days. Mr. K describes other scattered pruritic areas of his arms and back as severe. He denies chemical exposure at work, in his home, and outside his home. He has not traveled or been exposed to persons with a similar problem.