Review Question - QID 109193

A 38-year-old African American female presents to her primary care provider complaining of shortness of breath. She has noticed gradually worsening shortness of breath over the past six months. She initially attributed her symptoms to stress associated with her divorce. Her past medical history is also notable for obesity and major depressive disorder for which she takes fluoxetine. She has a 5 pack-year smoking history and drinks alcohol socially. Her temperature is 99.0°F (37.1°C), blood pressure is 130/85 mmHg, pulse is 95/min, and respirations are 20/min. Physical examination is notable for bilateral rales. A chest radiograph is shown in Figure A. Which of the following dermatologic conditions is this patient at increased risk of developing?