What’s the Dx? Patient with juvenile rheumatoid arthritis now has rash on hands and face.

An 8-year-old girl was brought to the doctor by her mother for a rash that developed on her hands and face. On examination, orange-red papules and tiny milia were seen on the dorsal hands, fingers, and face in a photodistributed eruption. The patient had a recent medical history of juvenile rheumatoid arthritis and had been taking naproxen for over 3 weeks, prior to the rash presentation. What’s the diagnosis?

A)     Arthropod bite or sting

B)    Molluscum contagiosum

C)     Pseudoporphyria

D)    Psoriasis

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