QBANK A 25-year-old man presents to your clinic with complaints of a rash. He states that the rash began 1–2 days prior to his visit. He denies any recent t

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A 25-year-old man presents to your clinic with complaints of a rash. He states that the rash began 1–2 days prior to his visit. He denies any recent travel,medication use, illicit drug use, change in laundry detergent, or use of topical creams. The rash is somewhat pruritic and involves the palms and soles. He is otherwise healthy and denies any past medical history. Physical examination reveals a temperature of 99.0ºC, HR of 76, RR of 14, and BP of 128/86 mm Hg. Head and neck examination reveals a nearly healed cold sore on his upper lip. Heart, lung, and abdominal examination results are all normal. Skin examination reveals the rash as below There is no mucous membrane involvement.


What is the most likely diagnosis?

A. Secondary syphilis
B. Erythema multiforme
C. Rocky Mountain spotted fever
D. Stevens-Johnson syndrome
E. Erythema nodosum