4th August 2020

A 45-year-old nurse develops an itchy rash 48 hours after a sunny weekend

A 45-year-old nurse develops an itchy rash 48 hours after a sunny weekend. The rash is erythematous with vesiculation and affects his hands, forearms, and face, with sparing of his neck and feet. He reports that he finds the distribution strange, as the unaffected areas are the only sun-exposed areas where he did not apply sun cream. He has used the sun cream several times before and has had no problems with it previously. He takes no regular medication and has no history of medical problems or previous skin problems. What is the most likely diagnosis?

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