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Review Question - QID 214405

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QID 214405 (Type "214405" in App Search)
A 30-year-old man presents to his primary care physician for evaluation of a facial rash. He first noticed the rash 2 years ago and did not bother him at the time, but now it has begun to itch and he does not like its appearance. He denies any recent travel and is not using any new soaps or conditioners. On exam, there are numerous hyperpigmented, firm, tender papules and pustules in the bilateral submandibular and upper neck regions. The rash is pictured in Figure A. Which of the following is the most likely cause of this patient's rash?
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