Bec is a 34-year-old office worker with a six-month history of a recurrent rash on the hands following development of oral and genital ulcers.

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Bec is a 34-year-old office worker with a six-month history of a recurrent rash on the hands following development of oral and genital ulcers.

She has had three episodes. Each time, she experienced initial dysuria and frequency, followed by painful oral and genital ulcers and a palmar rash 1-3 days later.