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The patient was a 5-year-old male. His parents reported that he had been febrile for the past several days (fever between 101°F and 103°F [38.3°C to 49.4°C]) and had become increasingly irritable and ill appearing.

Exam revealed bilateral conjunctival injection without exudate, dry red lips and red tongue, and perineal erythema with overlying scale. The patient’s lymph nodes were swollen.

View the images taken (Figures 1, 2 and 3) and consider what your diagnosis would be.

5-year-old male exhibits irritability and persistent febrility
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