Boy Has Fever, Crusted Lesions on Trunk – Let’s Diagnose

A 7-year-old boy was brought to the doctor by his mother with a rash of scaly papules primarily on his trunk, some of which had crusted or healed. A few of the lesions were hemorrhagic. They had appeared just a few days ago and the little boy complained they were very itchy. His mother initially thought it was a mild case of chicken pox because he also had a fever, but she also knew he had been vaccinated. During the exam, the doctor detected generalized lymphadenopathy.

Is it varicella, pityriasis lichenoides et varioliformis acuta, scabies, or pityriasis rosea?

The correct answer is…

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