Subjective. A 49 yo F presented to the office with a history of a red, patchy rash located on her left chest and extending to the middle of her back. The rash began one week prior. Pt complained of severe constant pain (9/10) along rash site, causing much discomfort and inability to lie on left side, leading to problems with sleep. Pt denies itchiness or tingling. Pt has history of sacroiliitis, osteoarthritis of lumbar spine, and posterior bulging of L2-L4 intervertebral discs..