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Case Presentation

25 year old male presents with rash on medial aspect of left lower leg. + erythema and pruritus. Denies tenderness, bleeding, discharge. Patient reports multiple spots of a similar rash on the same extremity that come and go over the past three years. Multiple hyperpigmented areas on same region (previous areas of rash) appearing purple in color. Patient denies taking any medications or applying anything topically.

PE: varicose veins on left lower extremity (also medial aspect).
PMH: denies
Meds: denies
Allergies: nkda
FHx: denies
PSHx: denies
SHx: social EtOH use (1-2x / month), never smoker, 2 cups of coffee daily.

Diagnosis/ Treatment?