What's causing this patient's red-purple erythema?

A 72-year-old Italian woman presents with itchiness around the eyes, forehead, neck and trunk

A 72-year-old Italian woman presents with itchiness around the eyes, forehead, neck and trunk.

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Professor Dedee Murrell is head of dermatology at St George Hospital, Sydney, and conjoint professor at UNSW, Sydney.

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