SECTION EDITOR: SAMIR S. SHAH, MD, MSCE
Author Affiliations: University of South Carolina School of Medicine, Columbia (Ms Goff); Department of Dermatology, University of Pennsylvania (Drs Gormley and Rubin); and Section of Dermatology, The Children's Hospital of Philadelphia (Drs McMahon and Castelo-Soccio), Philadelphia, Pennsylvania.
A 20-year-old African American woman presented to the pediatric dermatology department for evaluation of a widespread itchy rash involving the trunk and extremities, with acral accentuation, sparing the face. The rash had progressively worsened during the previous 1.5 weeks.
Physical examination revealed a healthy-appearing young woman with widespread pink targetoid papules on the palms and soles of the feet but also extending to the trunk (Figure 1). The patient reported being sexually active up until 3 months prior with a single male partner. She had no history of herpes virus infection or other sexually transmitted infections.
Figure 1. Photograph of the left medial foot of the patient depicting the targetoid appearance of widespread papules and plaques.
What is your diagnosis?
Goff KL, Gormley RH, McMahon PJ, Rubin AI, Castelo-Soccio L. Picture of the Month—Quiz Case. Arch Pediatr Adolesc Med. 2012;166(12):1177. doi:10.1001/2013.jamapediatrics.220