A 34-Year-Old Man Comes to the Office Due to a Persistent

A 34-year-old man comes to the office due to a persistent skin rash.  He has a 6-month history of a scaly rash involving the upper and lower extremities that is associated with mild pruritus.  The patient has attempted treatment with topical antihistamines and emollients without relief.  Medical history is notable for childhood asthma and orolabial herpes simplex virus infection.  He does not use tobacco or alcohol and works as a sales associate for a home improvement store.  On examination, the patient has skin lesions as shown in the image below. This patient's disorder is most likely associated with which of the following extradermal complications?

A) Chronic glomerulonephritis
B) Deforming joint disease
C) Medullary thyroid cancer
D) Peripheral neuropathy
E) Pulmonary fibrosis

Correct Answer:

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