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Alexander K. C. Leung, MD; W. Lane M. Robson, MD
Author Affiliations: Department of Pediatrics, Alberta Children’s Hospital and University of Calgary, Calgary, Alberta (Dr Leung); and Department of Pediatrics, Tawam Hospital, Al Ain, United Arab Emirates (Dr Robson).

Arch Pediatr Adolesc Med. 2005;159:978.

An 11-year-old boy had a generalized rash of 5 days’ duration. There was no associated fever, malaise, lethargy, headache, arthralgia, or pruritus. The past history included varicella at the age of 2 years. His past health was otherwise unremarkable. Two weeks prior to assessment, his 5-year-old brother developed varicella. On examination, there were numerous discrete, erythematous maculopapules evenly distributed over the trunk and extremities (Figure). Some of the lesions had a crusted surface. The face, scalp, mucous membranes, palms, and soles were spared. There was no lymphadenopathy or hepatosplenomegaly. The physical examination results were otherwise normal.

View larger version (363K): [in this window] [in a new window] [as a PowerPoint slide]   Figure. Multiple erythematous, polymorphous plaques scattered over the buttocks and posterior aspect of the lower extremities.

What is your diagnosis?

SECTION EDITOR: ALBERT C. YAN, MD

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