Description

KH is a 25-year-old healthy female middle school English teacher who is an established patient seen over a year ago. The chief complaint today is a rash on thighs and left wrist for two days. Positive exposure of plants and bushes to exposed skin while hiking, consumed scallops for the first time, used a new skin oil, and used a hot tub in the past 2 days. Positive for bilateral inner thigh rash with 10×12 cm raised, confluent, erythematous papules and blisters in various stages. Positive for 6cm linear, erythematous papules, and yellow-red blisters on left ventral forearm. Negative for systemic allergic reaction. A review of past medical history reveals no changes to health, allergies, hospitalizations, surgeries, immunizations, social history, or medications not otherwise documented.