papular-purpuric gloves and socks syndrome

This is another strange rash that you have to have heard of to recognize. The name is descriptive. The rash is localized to the hands and feet, with sharp demarcation. Initially it consists of confluent redness and papules of the hands and feet, sharply demarcated at the wrists and ankles as if the child had worn gloves and socks that triggered the rash. As the rash progresses, it becomes petechial and bruised-appearing.

It is believed to be caused by infection with human parvovirus B19 and perhaps some other viruses as well.

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