35-year-old female w/o pmhx generally well with flat, nonpru | Figure 1

35-year-old female w/o pmhx generally well with flat, nonpruritic rash, central clearing. No new meds, insect bites. No systemic symptoms. Does not have the appearance of urticaria. No target lesions to suggest erythema multiforme. What is it?


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19 yo wf came to me this morning with this lesion near her right elbow. She is mentally disabled so history is sketchy. She does not know how long she has had it nor can she recall any trauma / bite history. She states that it itches and does not have "water coming out". She has no known drug / environment / food allergies. She is on 2400 mg/day oxcarbazepine for refractory epilepsy. Thoughts?

Non-itchy, single erythematous spot, slightly elevated, 5-6 mm in diameter. Any ideas on what could it be?

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