BMJ 2007; 334 doi: https://doi.org/10.1136/bmj.39199.505486.79 (Published 03 May 2007) Cite this as: BMJ 2007;334:960
  1. Lyndsey Paul, specialist registrar,
  2. Calum Lyon, consultant
  1. dermatology department, York Hospital, York YO31 8HE
  1. L Paul drlyndseypaul{at}hotmail.com

    A 25 year old woman presented with sudden onset maculopapular rash, lethargy, headache, and fever. Blood tests showed a …

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