She has had a nonpruritic red rash on the upper chest for 4 weeks associated with a raised erythematous rash on her hands. She does not wear V-neck shirts, but the chest rash is in a V-neck distribution. Her hands have a scaly reddish-purple eruption, and her finger pads have become thicker and rougher. She also has a slight red hue on the upper eyelids. Images of the findings are attached. This condition is associated with which of he following?
A.Delayed relaxation phase of deep tendon reflexes
E. Subcutaneous nodules on the back of the forearm