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A 70-year-old man comes to the emergency department because of a skin rash and severe itching. He appears ill; there is a generalized skin rash that is scaly, erythematous, and thickened. His palms, soles, and scalp are also involved. Which of the following is the most likely diagnosis?
pemphigus vulgaris
rosacea
erythroderma (exfoliative dermatitis)
dermatitis herpetiformis
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