30 yr old female. PMH of hypothyroidism and PCOS. She is cur | Figure 1

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30 yr old female. PMH of hypothyroidism and PCOS. She is currently taken Synthroid and Metformin. Rash started approximately three yrs ago. Previous provider told her it is psoriasis. It has not resolved or worse at all in 3 years. It is not painful but does itch. I don't think this is psoriasis but I also don't know what it is. It is not HZ. Any ideas for ddx? Treatment?

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