18y/o M with progressive skin rash over the past yr which has a burning sensation especially in palms and soles. This burning is exacerbated by stress and fatigue. Man notices he doesn't sweat as much as normal.
Gross: clusters of non-blanching red papules in gluteal, inguinal, and umbilical areas
Labs: undetectable a-galactosidase A
A. Psoriasis
B. Eczema
C. Fabry disease
D. Contact dermatitis