Ideas? 55yo Burmese man presents with 2d hx of painful pustu | Figure 1

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Ideas? 55yo Burmese man presents with 2d hx of painful pustules/papules/vesicles on face and chest and axilla, in addition to painful and swollen left temple. Is tachycardic, febrile, and all lesions very tender to touch. Unfortunately no capacity for labs or biopsy. One has to think of temporal arteritis but thoughts about the painful pustules?? Any syndrome standing out to people?

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