A 25-year-old Man with Acute Maculo-Papular Rash and Target Lesions

A 25-year-old student had an erythematous eruption on his face, trunk and upper extremity. Initial maculo-papules evolved to target lesions with a vesicular center surrounded by alternating pale and dark rings. The eruption appeared at the dorsum of the hand and progressed proximally, four days after a flu-like episode, without use of drugs or medicines for a minimum of six-months

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1. Lamoreux MR, Sternbach MR, Hsu WT. Erythema multiforme. Am Fam Phys 2006;74:1883-8.

2. Zawar V, Chuh A, Sankalecha S. Erythema multiforme-like lesions in the course of infectious mononucleosis. J Dermatol Case Rep 2009;3:44-6. doi:10.3315/jdcr.2009.1035

3. Bonamigo RR, Razera F, Olm GS. Neutrophilic dermatoses: part I. An Bras Dermatol 2011;86:11-25.

4. Kerkeni N, Zaraa I, Ayachi J, El Euch D, Mokni M, Ben Osman A. Behçet’s disease: A profile of mucocutaneous features. Acta Dermatovenerol Alp Panonica Adriat 2010;19:11-5.

5. El Fekih N, Belgith I, Fazaa B, et al. Erythema elevatum diutinum: an "idiopathic" case. Dermatol Online J 2011;17:7.

6. Delage M, Naouri M. Images in clinical medicine. Erythema gyratum repens. N Engl J Med 2010;362:1814.

7. dos Santos VM, Nery NS, Bettarello G, Neiman IM, de Brito FC, Souza CFR. Photoclinic. Bullous Sweet syndrome in chronic myeloid leukemia. Arch Iran Med 2010;13:561-2.