Approach to viral exanthems (pediatrics) Quiz: Ace Your Exams
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A 4-year-old girl presents to the pediatrician for evaluation of a rash on her elbows and knees that developed 5 days ago. The rash is pruritic but not painful, and there have been no new exposures to soaps, lotions, or detergents. The patient lives in the city and has had no exposure to plants or wooded areas. There has been no known contact with individuals with a similar rash. Her medical history is unremarkable. Temperature is 37.2°C (99.0°F), pulse is 116/min, respirations are 26/min, blood pressure is 91/52 mmHg, and oxygen saturation is 99% on room air. On physical examination, the patient is well-appearing. Cardiopulmonary examination is normal. There are mildly erythematous papules on the extensor aspects of the elbows and knees, as well as on the buttocks. Which of the following findings would most likely be present on further evaluation?


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