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A 10-year-old boy presented with 10 days history of upper respiratory tract infection, generalised aches, rash and 2 days history of fever. There was no history of recent foreign travel or infectious contacts.
On examination, he had generalised erythematous maculopapular and petechial lesions (figure 1). There was no conjunctivitis or mucosal changes or enlargement of lymph glands or liver or spleen. There were no palatal petechiae.