Acral papular rash in a 2-year-old boy
Was this rash linked to the patient’s recent viral infection?
A 2-YEAR-OLD BOY was referred to our outpatient department in the spring with a mild pruritic rash that had appeared on his face, arms, and legs over the previous 2 weeks. His family said that the boy had developed an enteroviral infection the month before. Furthermore, he had a 6-month history of acute myeloid leukemia.
On examination, the child was afebrile, with numerous monomorphous flesh-colored to erythematous papules on his face and on the extensor sites of his limbs ( FIGURE ). However, his trunk, palms, and soles were spared.
FIGURE
Flesh-colored to erythematous papules with a monomorphous appearance
WHAT IS YOUR DIAGNOSIS?
HOW WOULD YOU TREAT THIS PATIENT?
