A 62-year-old male attending physician presents for evaluation of a three-day rash on the right anterior chest wall.

A 62-year-old male attending physician presents for evaluation of a three-day rash on the right anterior chest wall. The rash is associated with intermittent sharp, lightning-like pain that is not caused or relieved by position or activity and ranks as an 8 on a scale of 10. Past medical history includes tonsillectomy at age three for recurrent strep throat, chicken pox at age eight, and an uncomplicated appendectomy at age 19. He is otherwise healthy and takes no medications. As the patient and provider are both in agreement that this is most likely shingles, which of the following rashes are expected on this patient? Slowly progressive café-au-lait spots. A nonpruritic rash with raised, tan-colored, oval-shaped lesions distributed over the trunk and lower extremities. A vesicular rash that evolves into crusted ulcers, starting on the trunk and expanding to the extremities. An erythematous rash that started on the ankles and wrists then spread to the palms and soles, becoming more purpuric with spread. A painful and pruritic vesicular rash in a dermatomal distribution over the chest that does not cross the midline.

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