A 36-Year-Old Man Who Just Returned from a Vacation in the Caribbean

A 36-year-old man who just returned from a vacation in the Caribbean complains of an intensely pruritic skin rash.  He spent a lot of time outdoors on the beach and applied sunscreen daily.  He initially thought the rash was an allergic reaction, but it began expanding.  The affected area is shown in the photograph.

Which of the following is the most likely diagnosis?
A)Cutaneous leishmaniasis
B)Larva migrans
C)Mycetoma
D)Swimmer's itch

Correct Answer:

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