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April 12, 2024

A 58-year-old man with a history of alcohol use disorder, intravenous drug use, and hepatitis C presents to the clinic

A 58-year-old man with a history of alcohol use disorder, intravenous drug use, and hepatitis C presents to the clinic with complaints of a rash on his hands and forearms. Physical exam reveals hyperpigmented, fragile skin with blisters on the forearms and dorsal aspect of the hands. Urine studies show normal results except for significantly elevated uroporphyrins. Which of the following is the most likely explanation for these findings? Cutaneous lupus erythematosus Exfoliative dermatitis Photodermatitis Porphyria cutanea tarda

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