in this syndrome the patient acutely develops hundreds of red macules and papules on the face, extremites and buttocks with sparing of the trunk
malaise and lymphadenopathy accomany the eruption
the lesions become purpuric and then slowly fade over the next two to three weeks
the rash appears to be the result of an underlying viral infection. It may occur in association with coxsachie, varicella, hepatitis B, and Epstein-Barr viruses.
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