Is my dermatitis spreading?

Hello! 32F, 145lbs, non smoker, no alcohol.

Health history: Diagnosed Sept 2024 Undifferentiated Connective Tissue Disease (please see ANA bloodwork below) Postural Orthostatic Tachycardia Syndrome diagnosed via tilt table January 2026. Fibromyalgia (I guess) Raynaud's, all that CTD stuff. Sebborhic dermatitis on scalp since I was a child Eczema around nose since childhood

Meds: Hydroxychloroquine 300mg/day Escitalopram 20mg/day Propranolol 2x a day 10mg Mycophenolate motfil 2000/day Klonopin PRN Omeprazole 20mg/day Ketoconazole shampoo

I took a picture of this zit on my neck and happened to notice a rash on the nape of my neck. Didn't know it existed. I've had an active dermatitis flare on my scalp since Aug 2025. I plan on following up with my dermatologist as it constantly itches and hair has broken off. This is the worst I've ever had it.

However, on the nape of my neck, is that the same as the balding patch on my scalp? See photos below. Or is it discoid lupus or psoriasis?

Thank you!