[Solved]: A 58-year-old woman comes to the physician because…

A 58-year-old woman comes to the physician because of a rash that developed on her face 3 months ago.The rash is not painful or pruritic. She tried taking an over-the-counter antiallergy medication but it provided no relief. She also has a 1-year history of dry, nonproductive cough and mild exertional dyspnea. The patient emigrated from Azerbaijan 35years ago. She drinks one glass of wine daily and smokes one pack of cigarettes every 2-3 days. She works as a dental technician. Her BMI is 24 kg/m2. Her temperature is 37.2deg C (99deg F), pulse is 91/min, respirations are 21/min, and blood pressure is 130/90 mm Hg. A photograph of the patient’s lesion is shown. There is diffuse wheezing on pulmonary auscultation.The liver edge is palpated 3 cm below the right costal margin. The spleen tip is palpated 2 cm below the left costal margin. The results of an antinuclear antibody test are within the normal range. Which of the following is the most likely diagnosis?