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A 6-year-old boy presents to the clinic with a sore throat and a diffuse erythematous rash. His parents report a 1-day history of fever, malaise, and a noticeable, “gritty” rash that initially appeared on his upper chest and has now spread down his trunk and extremities. On examination, he has circumoral pallor, red, swollen tonsils with white exudates, and enlarged posterior cervical lymph nodes. The rash is more pronounced in the skin folds and spares the palms and soles. What is the most likely diagnosis based on the patient’s history and physical exam findings? Fifth disease German measles Measles Roseola Scarlet fever
SCIENCE
HEALTH SCIENCE
NURSING

 
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