Erythematous papules on the extremities

A 38-year-old, mildly obese Caucasian man reported the sudden onset of erythematous, papular lesions. The papules had presented four weeks earlier in crops on the extensor surfaces of his arms and legs and as scattered discrete lesions on his trunk. The patient did not complain of pruritus or pain. He denied any health problems and took no medications. Despite a family history of hypertension and heart problems, he had not seen a physician for more than 20 years.

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