A 15-MONTH-OLD child had a 4-day history of fever and a 1-day history of a rash. On physical examination she was irritable and had a temperature of 38.3°C. Scattered vesicles were present on her thumb and fifth toe (Figure 1), erythematous papules and a few vesicles were present over her perineum (Figure 2), and a few superficially eroded papules were evident on her lips (Figure 3). The lesions were gone 3 days later, but a playmate presented with early findings of a similar exanthem.
Slavin KA, Frieden IJ. Picture of the Month. Arch Pediatr Adolesc Med. 1998;152(5):505-506. doi:10.1001/archpedi.152.5.505