Review Question - QID 212444

A 58-year-old man presents to his primary care physician complaining of a facial rash. He states that he has had the rash for at least 10 years. The rash is on both cheeks and spreads across his nose. It normally comes and goes, but is exacerbated by sun exposure. The patient was recently fired, and is embarrassed of his rash, which has prevented him from accepting job interviews. He has tried various over the counter lotions and soaps with little improvement. He has no other complaints. His medical history is significant for mild osteoarthritis and coronary artery disease. He takes aspirin, simvastatin, and ibuprofen. On physical examination, you note telangiectasias on his bilateral eyelids. The rash is shown in Figure A. Which of the following is the most likely diagnosis?