A 53-year-old woman, with no notable medical history, presented with a non-pruritic rash after several months of weakness and low-grade fevers, 27 kg weight loss, and non-bloody productive cough. The rash was asymptomatic and had been present for 1 month on her legs and had spread to her chest and neck before presentation. Physical examination identified multiple erythematous 2-3 mm well demarcated, non-tender, umbilicated papules on her upper chest, anterior neck, and anterior lower legs bilaterally (figure A).
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