PHOTO QUIZ Anthony Amoroso, Section Editor
A Patient With Fever and Rash (See pages 136–7 for the Answer to the Photo Quiz.)
Skin lesions on trunk.
Figure 3.
Skin lesions on hands.
Downloaded from http://cid.oxfordjournals.org/ at National Taiwan Univ. Hospital on January 12, 2015
Figure 1.
Figure 2.
Skin lesions on trunk.
A 20-year-old man presented to the emergency department in May 2013 with a new rash that had gradually progressed over 1 day. He also noted several days of sore throat, fever, malaise, and cervical lymphadenopathy preceding the rash. He lived in Maryland, his medical history was unremarkable, and he denied any new medications. On physical exam, he had enlarged tonsils and cervical lymphadenopathy. He had no hepatosplenomegaly. In addition, his skin showed erythematous papules too numerous to count, as well as plaques of varying size and morphology on his face, trunk, palms, and extremities, yet there were no lesions on his mucus membranes or genitals (Figures 1–3). The lesions were nonblanching and mildly pruritic. Initial laboratory evaluation in the emergency department was only significant for an alanine aminotransferase level of
127 U/L (normal range, 0–41 U/L) and an aspartate aminotransferase level of 48 U/L (normal range, 0–40 U/L). What is your diagnosis? Clinical Infectious Diseases 2014;59(1):95 Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US. DOI: 10.1093/cid/ciu192
PHOTO QUIZ
•
CID 2014:59 (1 July)
•
95
A Patient With Fever and Rash (See pages 136–7 for the Answer to the Photo Quiz.)
Skin lesions on trunk.
Figure 3.
Skin lesions on hands.
Downloaded from http://cid.oxfordjournals.org/ at National Taiwan Univ. Hospital on January 12, 2015
Figure 1.
Figure 2.
Skin lesions on trunk.
A 20-year-old man presented to the emergency department in May 2013 with a new rash that had gradually progressed over 1 day. He also noted several days of sore throat, fever, malaise, and cervical lymphadenopathy preceding the rash. He lived in Maryland, his medical history was unremarkable, and he denied any new medications. On physical exam, he had enlarged tonsils and cervical lymphadenopathy. He had no hepatosplenomegaly. In addition, his skin showed erythematous papules too numerous to count, as well as plaques of varying size and morphology on his face, trunk, palms, and extremities, yet there were no lesions on his mucus membranes or genitals (Figures 1–3). The lesions were nonblanching and mildly pruritic. Initial laboratory evaluation in the emergency department was only significant for an alanine aminotransferase level of
127 U/L (normal range, 0–41 U/L) and an aspartate aminotransferase level of 48 U/L (normal range, 0–40 U/L). What is your diagnosis? Clinical Infectious Diseases 2014;59(1):95 Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US. DOI: 10.1093/cid/ciu192
PHOTO QUIZ
•
CID 2014:59 (1 July)
•
95
