JA is a 28-year-old female who presents with a rash over her arms, buttocks, lower back, and legs. The small pink papules are at the hair follicles. She and a friend completed a "mud run" three days ago. What would you recommend?   JA did as you instructed for the past several days and while some areas improved, others are worse, pink or red papules with pustules, and she has a low-grade fever.

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