Viral Exanthems


A 3-year-old boy presents to your office with fevers, runny nose, cough, and a rash on his face. The cold symptoms started a few days ago, but his mother noticed the rash just this morning. How would you describe this eruption, based on the image?


Your patient is a 6-month-old boy who presents to your clinic for a follow-up appointment. Three days ago, his mother took him to the E.R. after the boy spiked a fever to 104F and had a seizure at home. His work-up was normal, and he was sent home with acetaminophen and fluids. This morning he developed a rash on his trunk, which his mother believes is spreading to his arms and legs (see image). What is the most likely cause of this patient’s symptoms and skin findings?


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