Derm Dx: Pink plaques and crusting ulcerations

A 53-year-old Caucasian woman with a history of hypertension, post-traumatic stress disorder, substance-induced mood disorder, borderline personality disorder, alcohol abuse, and amphetamine dependence presents with painful wounds on the bilateral antecubital fossa. She states a recent history of pouring boiled pool water over her arms because she has no running water in her house. She notes subjective fever, chills, dyspnea, ...