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Alexandra Geusau, MD; Gerhard Mooseder, MD
University of Vienna Medical School, Vienna, Austria

Arch Dermatol. 2002;138:117-122.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 55-year-old heterosexual man presented with an asymptomatic maculopapular rash that had developed shortly after his return from a 4-week stay in Thailand, where he had had unprotected sexual contacts with local prostitutes. Other symptoms included fever, lymphadenopathy, myalgias, arthralgias, headache, and severe watery diarrhea, which finally led to his admission to our ward. Physical examination revealed distinct erythematous, partly purpuric maculopapular lesions distributed on his neck, face, and upper trunk area (Figure 1); a spotty, erythematous enanthem of the soft and hard palate (Figure 2); and an erosive balanoposthitis with concomitant Candida infection.

Figure 1.

Figure 2.

Abnormal laboratory findings included leukopenia (leukocytes, 3.7 x 10⁹/L; reference range, 4.3-10.0 x 10⁹/L), lymphocytopenia (lymphocytes, 16% [reference range, 20%-51%]), shift to the left (band cells, 22% [reference value, 5%]), thrombocytopenia (platelets, 80 x 10⁹/L [reference range, 140-440 x . . . [Full Text of this Article]

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