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January 2002

A Maculopapular Rash in a Patient With Severe Diarrhea

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Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2002

Arch Dermatol. 2002;138(1):117-122. doi:10.1001/archderm.138.1.117

A 55-year-old heterosexual man presented with an asymptomatic maculopapular rash that had developed shortly after his return from a 4-week stay in Thailand, where he had had unprotected sexual contacts with local prostitutes. Other symptoms included fever, lymphadenopathy, myalgias, arthralgias, headache, and severe watery diarrhea, which finally led to his admission to our ward. Physical examination revealed distinct erythematous, partly purpuric maculopapular lesions distributed on his neck, face, and upper trunk area (Figure 1); a spotty, erythematous enanthem of the soft and hard palate (Figure 2); and an erosive balanoposthitis with concomitant Candida infection.