healingneutrophil Diagnosis? 23-year-old male presented to t | Figure 1

healingneutrophil Diagnosis?

23-year-old male presented to the emergency department, with rash, mouth sores, and subjective fevers that began after eating fish five days prior. His symptoms started with sores in his mouth and on his lips with penile and anal pruritus. After 24 hours, the patient developed a pruritic rash over his upper extremities, neck, upper back, and palms, as well as two non-painful sores on his penis. On physical examination, he had heme-crusted polycyclic erosions of vermillion lips, buccal mucosa, and labial mucosa. He was also found to have numerous 2-12 mm erythematous, urticarial, targetoid papules and plaques with central hyperpigmented purple/red duskiness over bilateral palms dorsal hands, upper arms, lateral neck.