A 47-year-old patient with psoriasis, chronic venous insufficiency and venous ulcers presents with one week’s history of purpuric papules with some vesiculobullous lesions affecting the lower extremities and distal forearms. The distal lesions have central necrosis with scattered erosions. The patient says the lesions itch and complains of mild abdominal pain. How should the patient be managed?

A. Topical corticosteroids and ibuprofen

B. Urinalysis (U/A)

C. CBC and CMP

D. Intravenous antimicrobials

E. Infectious disease consult

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