Description

VL is a 25-year-old female teacher who presents with an itchy, swollen rash on her bilateral upper thighs that began 36 hours ago. Possible exposure while bushwhacking. She was also exposed to a hot tub, new food, drink, and lotion. Today she noted a rash on her left forearm. A physical exam reveals a raised confluent erythematous rash with papules and vesicles in various stages to the bilateral upper and on her left forearm is a linear configuration of vesicles with erythematous papules.