Patient with 2-Month History of Pruritic Rash

Patient with 2-Month History of Pruritic Rash

A 69-year-old man presented to the dermatology clinic with a 2-month history of a pruritic rash. The rash first appeared on his right wrist and within 2 weeks had spread to his arms, legs, and trunk. His medical history was notable for chronic hepatitis C virus (HCV) infection.

What is the diagnosis?