An accountant with scaling rash

25y man, works as an accountant at T. Rowe Price, no significant PMH, comes in for progressively spreading rash over the entire body, mostly in the feet for the past 4 weeks. He denies any exposure to new chemicals precipitating the rash. He has tried OTC anti-fungals with partial relief.
Exam shows small to large, scaling, sharply marginated plaques without pustules on the torso. Feet show considerable erythema with superficial scaling and excoriations.

What is the diagnosis?

1. Inflammatory urticaria
2. Pityriasis rosea
3. Erythema migrans
4. Diffuse inflammatory epidermal dermatophytosis- CORRECT ANSWER
5. Eczema

• Discussion