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Acral papular rash in a 2-year-old boy

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Was this rash linked to the patient’s recent viral infection?


 

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A 2-YEAR-OLD BOY was referred to our outpatient department in the spring with a mild pruritic rash that had appeared on his face, arms, and legs over the previous 2 weeks. His family said that the boy had developed an enteroviral infection the month before. Furthermore, he had a 6-month history of acute myeloid leukemia.

On examination, the child was afebrile, with numerous monomorphous flesh-colored to erythematous papules on his face and on the extensor sites of his limbs ( FIGURE ). However, his trunk, palms, and soles were spared.

FIGURE
Flesh-colored to erythematous papules with a monomorphous appearance

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