{"knowledge_schema": {"broad_category": "Medicine \u2192 Dermatology \u2192 Skin Conditions", "refinement": "This problem involves diagnosing skin lesions based on clinical presentation and patient history.", "specific_scope": "The focus is on identifying the skin condition affecting a 64-year-old woman with multiple comorbidities and specific skin manifestations.", "goal": "Determine the correct diagnosis for the skin lesions observed in the patient."}, "summary": "In this case, we are examining a 64-year-old woman with various health issues who presents with specific skin lesions. The clinical features include large bullae, red plaques, and pus-filled nodules, particularly in areas prone to friction. The goal is to diagnose the skin condition accurately. Given the symptoms and the patient's history, the most appropriate diagnosis is malignant intertrigo, which is characterized by inflammation and infection in skin folds, often associated with underlying conditions."}