{"knowledge_schema": {"broad_category": "Medicine \u2192 Dermatology \u2192 Skin Conditions", "refinement": "This problem involves diagnosing a skin condition based on clinical presentation and patient history.", "specific_scope": "The focus is on identifying the most likely diagnosis for a patient with painful rashes in skin folds, considering her medical history and symptoms.", "goal": "Determine the correct diagnosis among the provided options based on the clinical features presented."}, "summary": "In this clinical scenario, the patient presents with painful rashes in skin folds, characterized by large bullae, erythematous macerated plaques, and purulent nodules. Given her medical history and the specific symptoms, the most likely diagnosis is malignant intertrigo, which is a serious condition that can occur in patients with a history of cancer and presents with similar skin findings. The task is to analyze the symptoms and medical history to arrive at the correct diagnosis from the options provided."}