Concentric, Scaly Rash on Shoulders, Trunk, Arms, and Legs

Concentric, Scaly Rash on Shoulders, Trunk, Arms, and Legs

An 18-year-old Fijian woman presented with a 3-year history of a concentric, scaly rash on her shoulders; the rash was also present on her trunk, arms, and legs (not shown). The rash was pruritic and progressively spread to involve approximately 70% of the body-surface area. Her brother had similar skin findings.

What is the diagnosis?