What Caused These Nonresponsive Pruritic, Erythematous, Scaly Patches and Plaques?

A 22-year-old female equestrian with a history of atopic dermatitis presented with mild to moderate pruritic, erythematous patches on her face (Figure 1), upper back, and fingers (Figure 2). Prior to this initial office visit, treatment with a “ringworm ointment” was unsuccessful. Physical examination revealed an erythematous, scaly patch on her upper cutaneous lip, erythematous, annular, scaly patches on her upper midline back, and dyshidrosiform vesicles on her fingers. Scalp lesions were not noted.

What is your diagnosis?

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