Lady with itchy bumps

57 yr old Caucasian lady with past history of depression and HTN presented with gradually worsening rash and itching for 4 days which started first on her both arms and later over her legs. She has been scratching and developed some healed ulcers over her arms and legs but denies any pain associated with it. She also denies any associated fever, cough, nausea, vomiting or diarrhea. She has been on Effexor XR 150 q daily and Lisinopril 20 mg q daily for last 1½ yr with out any problem. She denies smoking nicotine, drinking ETOH or using illicit drugs. She is a homemaker and lives with her husband. 2 weeks ago she returned from her travel with her husband from Nashville and Indiana. She went from Nashville to Indiana in a riverboat and stayed in hotels. She does not have pets at home and states that she usually takes hot showers. On exam she has several sub-centimeter papular eruptions, a few of them excoriated with surrounding cellulitis on upper and lower extremities, shoulder and back.

What is the most likely diagnosis?
1. Allergic contact dermatitis
2. Infectious folliculitis
3. Papular urticaria- ANSWER
4. Furuncular Myriasis
5. Cutaneous Necrosis