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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 …
Footnotes
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.