A patient presents complaining of recent onset of aching and malaise followed by the development of a generalized rash
He denies previous rash although he does admit that about a month ago he had an open sore on his right hand that was nonpainful. The exam reveals a maculopapular rash and lymphadenopathy. This presentation is most consistent with:
A. Pityriasis rosea
B. Secondary syphilis
C. Herpetic whitlow
D. Pyogenic granuloma
ANS: B
The patient may provide the history of a more generalized rash developing 2 or more weeks following the primary lesion, which may still be evident. The primary lesion is usually an isolated, single red lesion, which ultimately ulcerates, forming a nontender chancre. There may be a period of malaise preceding the eruption of secondary lesions. These lesions vary in appearance and distribution, but the typical finding is of red maculopapular lesions smaller than 1 cm in diameter. Any portion of skin can be involved, including the scalp, mucous membranes, perineum, and the soles and palms. There is generalized lymphadenopathy.
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Fill in the blank(s) with correct word
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