A 51-year-old man presents with an 8-month history of a scaly, annular, erythematous eruption affecting mainly his axillae and neck. The eruption is scaly, not pruritic, and has gradually been spreading. It did not respond to short trials of topical antifungals and medium-strength topical steroids.
History No history of serious medical illness apart from chronic bronchitis, however over the past few months he has lost 5 kg in weight, associated with loss of appetite, and he has also noticed frequent night sweats and worsening of his bronchitis He drinks 8 standard drinks a day and smokes 10-15 cigarettes daily Current medications are rocithromycin and ventolin inhaler for bronchitis He is allergic to sulpha drugs His work as a carpenter involves sanding and polishing exotic timbers What is the possible diagnosis for this condition? How can it be cured?
