A 43-year-old African American man presents with a 1-year history of recalcitrant lesions to his face. He has previously tried and failed various over the counter and prescription acne treatments, including oral trimethoprim-sulfamethoxazole. He reports new-onset fatigue, joint pains, and occasional blurry vision.
Given the patient’s cutaneous physical exam findings, what is the most likely diagnosis?
A. Cutaneous lupus
B. Molluscum contagiosum
C. Orificial tuberculosis
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