Review Question - QID 103814

A 37-year-old woman presents to a general medical clinic with fatigue. She is an immigrant from Brazil and this is her first time seeing a physician in the past three decades. She reports mild itching of her skin but otherwise has no complaints. Her vital signs are temperature 37 degrees Celsius, heart rate 80 beats per minute, blood pressure 122/76 mmHg, respiratory rate 12 breaths per minute, and oxygen saturation 99% on room air. A cursory physical examination is notable for the following seen in Figure A. Which of the following is true regarding this patient's illness?