Case 407

Medical history

Female patient, 20 years old, comes to the Health Center complaining of recurrent skin lesions (images 1 to 3) since she was 4 years old. Initially, the lesions affected regions of folds of the arms and legs, but, 5 years ago, they started to occur in a disseminated way throughout the body, concentrating on the back. The lesions are itchy, appear about twice a month and get worse in times of stress or with the use of woolen clothes. There is partial improvement with the use of topical corticosteroids.

Considering the images presented and the case described, what is the most likely diagnosis for this patient?

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