A 34-year-old Indian American male presents with a 6-month history of pruritic papulopustular eruptions on his bilateral elbows, hands, and legs. The patient has no significant past medical history except for chronic lower back pain with a partial laminectomy in 2008. Other surgeries include a right knee ACL reconstruction in 2002.He denies a history of tobacco and illicit drug use, but does drink alcohol socially. He is a professional and has a heterosexual orientation. The patient's family history includes a father with hypertension and hyperlipidemia, but is otherwise noncontributory.
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