Sarah, 17, is in the pharmacy searching through the makeup counter, looking confused and upset. The dispensary is quiet, so you go over to see if she needs any assistance.
“I’ve got these horrible lumps,” she whispers, embarrassed, as she motions to the tops of her arms. “My school formal is in a few weeks and I need something to cover them up. Can you help?”
Sarah tells you the “lumps aren’t itchy or sore”. She’s had them for a while and they can flare up in winter. She mentions her mum used to have the same type of bumps on her upper arms as a teenager; however, her skin is clearer now. Upon examination you notice they are on both of her arms, red and raised