A 44-year-old man presents with a 5-year history of an asymptomatic, progressive, bilateral cutaneous eruption involving the medial aspects of his lower extremities. Physical examination reveals orange-brown irregular patches on the medial aspects of the lower legs, with nonpalpable pinpoint puncta resembling grains of cayenne pepper.
The most likely diagnosis is
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Purpuric contact dermatitis
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Early mycosis fungoides
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Stasis dermatitis
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Progressive pigmented purpuric dermatosis
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Leukocytoclastic vasculitis
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