A 26 year old woman presents with chief complaint of a rash…

A 26 year old woman presents with chief complaint of a rash that itches.  She states she has had this kind of rash for several years which comes and goes and usually appears behind her knees and on the front of her arm at the bend of her elbow.  She denies recent exposure to outdoor plants nor has she changed any soaps or detergents.  On inspection, you note the rash is dry with erythema and scaly patches as seen in this photograph. What is the most likely diagnosis? 

A 17 year old sexually active female presents with a five-da…

A 17 year old sexually active female presents with a five-day history of fever, chills and a persistent left ankle pain and swelling.  On physical examination, maculopapular and pustular skin lesions are noted on the trunk and extremities. She denies any symptoms of genitourinary tract infections.  Her symptoms are likely the result of which of the following diseases?