Simon, I'm sorry that your question wasn't answered in a timely manner. I would like to see a photo. You can upload it by using the paperclip icon in the toolbar above your message box (if you can see that icon) or you can use an external app such as dropbox.com/ Do you have a mosquito problem where you live?
Please check the photo(s) before uploading to make sure that they're in focus.
Thank you! How old is Bonnie, please? I would be concerned about solar dermatitis and squamous cell carcinoma in such a patient. The next diagnostic of choice should be skin biopsy. Pemphigus erythematosus and discoid lupus erythematosus are other important differential diagnoses also apparent in biopsies.
Thank you for your kind accept. I appreciate it. Please continue our conversation if you wish.