A 65 year old African-American lady presents with fever, bilateral red eyes, ulcers of the lips and mouth, and a widespread erythematous rash for 2 days, which has rapidly expanded over time.
Close questioning reveals that she started self-medicating herself with Ibuprofen around 2 weeks ago, due to pain in her right knee joint while walking. Her medical history is otherwise unremarkable.
She has had a single stable sexual partner for the last 5 years. There is no history of recent foreign travel.