case_images: PMC11787628_01
case_images: Maculopapular rash with follicular accentuation affecting the trunk
case_images: cureus-0017-00000076840-i01.jpg
case_images: PMC11787628_01_cureus-0017-00000076840-i01.jpg
case_images: FIG1
case_images: On the 20th day of hospitalization, the patient developed a maculopapular rash with follicular accentuation involving the trunk (Figure 1), extremities (Figure 2), and face.
case_images: Maculopapular rash involving the lower extremities
case_images: cureus-0017-00000076840-i02.jpg
case_images: PMC11787628_01_cureus-0017-00000076840-i02.jpg
case_images: FIG2
case_images: On the 20th day of hospitalization, the patient developed a maculopapular rash with follicular accentuation involving the trunk (Figure 1), extremities (Figure 2), and face.
case_images: Foci of vacuolization in the basal layer of the epidermis (interface dermatitis pattern) and superficial perivascular dermal infiltrate.  Original magnification: 40x staining: hematoxylin and eosin (H&E)
case_images: cureus-0017-00000076840-i03.jpg
case_images: PMC11787628_01_cureus-0017-00000076840-i03.jpg
case_images: FIG3
case_images: A skin biopsy revealed multiple vacuolization foci in the basal layer of the epidermis and occasional colloid bodies at the dermo-epidermal junction (Figure 3).
case_images: Detail of the perivascular infiltrate predominantly composed of lymphocytes and histiocytes, with rare eosinophils.  Original magnification: 200x staining: hematoxylin and eosin (H&E)
case_images: cureus-0017-00000076840-i04.jpg
case_images: PMC11787628_01_cureus-0017-00000076840-i04.jpg
case_images: FIG4
case_images: The superficial dermis showed mild edema, and a discreet inflammatory infiltrate predominantly composed of lymphomononuclear cells with occasional scattered eosinophils (Figure 4).