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A previously healthy 11-year-old Chinese girl presented to the accident and emergency department with a 4-month history of persistent rashes over her palms and soles, and a 1-week history of malaise and low-grade fever. Her general practitioner had suggested that the rash could have been caused by hand, foot and mouth disease. On examination, she had non-blanching erythematous macular lesions with few palpable crusted purpura over …
Correction notice This paper has been amended since it was published Online First. We published the author's name incorrectly, this has now been corrected.
Twitter Follow Erwin Khoo Jiayuan at @erwinkhoo
Contributors The author collated the clinical information and images for the patient, and compiled the manuscript.
Competing interests None declared.
Patient consent Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.