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A 40-year-old woman visits your urgent care center several days after first noticing a rash of pruritic smooth papules on her trunk and intertriginous areas. She reports that she had been spending a lot of time in the pool with her children before they returned to school. Now she also has a fever and swollen glands, and complains of general malaise.

View the photo and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Clinical Challenge 3: October 2017