Abstract
A 13-month-old boy without any medical history presented to the pediatric emergency department with 3 days of nonpruritic rash (Figures 1 and 2). Initially, the rash consisted of purple lesions that started on the back and then developed into red and raised lesions to his face, chest, and abdomen. He had no history of recent fever, respiratory symptoms, vomiting, diarrhea, or new exposures to food, travel, lotions, or detergents. Amoxicillin was begun 1 week ago for otitis media. Physical examination revealed a well-appearing child with multiple erythematous, serpiginous, and raised border lesions on his back, forehead, and trunk.
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