How Sick Is This Toddler With a Rash?

How Ill Is This Toddler?

A previously healthy 2-year-old boy presents with a rash beginning symmetrically on his hands and feet (Figure 1). He has a low-grade fever and is not on any medications. He is a bit sleepier than usual but does not have any other symptoms.

The rash moved from the hands and feet centrally over the next 2 days. There was a small rash on the boy's mouth, but other mucosal surfaces were not involved.

Figure 1.

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Cite this: How Sick Is This Toddler With a Rash? - Medscape - Nov 16, 2015.