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A 22-month old boy was brought to the University Pediatric Dermatology clinic
by
his parents for evaluation of a progressive erythematous eruption of 3 weeks
duration. The rash was asymptomatic and the child was otherwise well with no
history of a preceding fever or upper respiratory tract infection. No other
family members were affected. The eruption consisted of erythematous 1-4mm
papules over his face, trunk and extremities. The midline area of his chest
and
abdomen showed only minimal involvement, while the lateral aspects of his
trunk
were markedly involved and showed coalescence of the papules into raised
geographic plaques.
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