Otherwise healthy 26 y/o F presents with sudden onset warm, | Figure 1

Otherwise healthy 26 y/o F presents with sudden onset warm, erythematous, tender, nonpruritic plaque after waking up. Low-grade fever, body aches, slight headache. No recent travel, sick contacts or nausea, vomiting, diarrhea. History of topical retinoids and oral minoxycline for acne x 30 days prior to rash, no other medications. Diagnosis and treatment?

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This was the lesion at the time we first saw the patient. Sorry about the poor picture quality. The area on the R is a lump with a red area. The darker area on the L is a hole that was draining serosanguiness fluid.

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