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Walid Abuhammour, MD; Nahed Abdel-Haq, MD; Basim Asmar, MD
From the Department of Pediatrics, Wayne State University School of Medicine, Division of Infectious Diseases, Children's Hospital of Michigan, Detroit.

Arch Pediatr Adolesc Med. 1999;153:87-88.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

OVER 5 days, a previously healthy 13-year-old girl developed fever, bilateral conjunctival injection, difficulty swallowing, swollen knees, and a petechial rash. Physical examination showed her lips to be swollen and red, her throat red with a pharyngeal ulcer, and small vesicular lesions at the base of the tongue and on the buccal mucosa of the left cheek (Figure 1). Her conjunctivae were injected. Both knee joints were swollen and mildly tender to motion and palpation. A discrete petechial rash was present on the legs below the knees, including the dorsum and plantar surfaces of the feet and on the forearms, and palms of both hands (Figure 2 and Figure 3). The fingers of both hands were swollen.

Figure 1.

Figure 2.

Figure 3.

The white blood cell count was 2.4 x10⁹/L (reference range, 4.5-11.0 x. . . [Full Text of this Article]

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