Image Challenge

July 31, 2025

A 56-year-old woman with rheumatoid arthritis presented to the dermatology clinic with a 2-month history of an extremely itchy rash. She had been treated with tofacitinib and methotrexate for the previous 4 years. On physical examination, large patches of erythematous skin with overlying scales, crusting, and deep fissures were seen on the chest, upper arms, neck, abdomen, buttocks, and thighs. Similar findings were noted on the hands, with sparing of the nails. Which of the following is the most likely diagnosis?

Atopic Dermatitis

Try again!That is not the correct answer.