<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 34-year-old man comes to the physician for evaluation of a rash on the elbows for several months. A biopsy of the affected area shows a thinned stratum granulosum as well as retained nuclei and spongiotic clusters of neutrophils in the stratum corneum. This patients skin findings are most likely associated with which of the following conditions?? A: Seronegative spondylarthropathy, B: Hypersensitivity to gliadin, C: Infection with hepatitis C virus, D: Hashimoto thyroiditis, E: Insulin resistance,  <response>: This is a clinical vignette describing a patient with a chronic rash on the elbows. The biopsy findings of thinning of the stratum granulosum layer of the epidermis as well as retained nuclei and neutrophilic inflammation in the stratum corneum layer indicate spongiotic dermatitis. This pattern can be seen in various inflammatory skin conditions. Based on the location on the elbows and chronicity, the most likely diagnosis among the choices given is a seronegative spondyloarthropathy such as psoriatic arthritis. Psoriasis frequently affects the extensor surfaces like the elbows. The other choices are not typically associated with this type of rash and biopsy findings.A: Seronegative spondylarthropathy 