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A 2-year-old girl presented with recurrent episodes of pharyngitis and a perineal rash. During the first episode, a course of antibiotics resulted in a quick resolution of symptoms. Yet a few days later, her symptoms had recurred and she was referred to our clinic. She was febrile, her lips were red and fissured (figure 1A), the tonsils were enlarged and red, she had a pronounced perineal rash (figure 1 …
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