A 34-Year-Old Forest Service Firefighter Comes to the Physician with an Itchy

A 34-year-old forest service firefighter comes to the physician with an itchy rash on both arms.  The rash began as small red papules 3 days ago and subsequently developed yellow blisters.  The lesions appear to be spreading to the adjacent skin.  He has no fever, chills, or malaise.  The patient has no significant past medical history and takes no medications.  He has been sexually active with a new partner over the last 6 months and uses condoms.  He rents an apartment with 2 friends and they share a bathroom.
A photograph of his arm is shown below.

Which of the following is the best initial treatment for this patient's condition?

A) Antifungal therapy
B) Antiviral therapy
C) Corticosteroid
D) Penicillin antibiotic
E) Permethrin

Correct Answer:

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