30th July 2023

A 25-year-old man presents to his GP with very itchy lesions on his arms

A 25-year-old man presents to his GP with very itchy lesions on his arms. This alarms the GP, as the patient had presented two weeks earlier with a month-long history of fatigue and intermittent bowel disturbance. On examination, there are findings consistent with vesicles on the elbow and dorsal forearms.

Given the overall history, what is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.