Photos 1 and 2
show the child’s skin lesions. A generalized maculopapular rash was observed on the skin, confluent and spread over the entire body, sparing only the hairy scalp. The lesions consisted of numerous red macules and papules ranging from 1 to 5 mm in diameter. The rash was symmetrical and widespread, with a marked tendency to involve large areas of the skin, including classic locations such as the elbow creases, armpits, neck, and face. The most pronounced lesions were seen on the lateral face, shoulders, chest, and abdomen. Some lesions showed a tendency to merge into larger patches, particularly on the back and shoulders.
Table 1.
Laboratory Test Results
| Parameter | Result | Reference Range |
|---|---|---|
| Erythrocytes | 4,9 | 4,2–5,4 milion/μl |
| Hemoglobin | 14 | 12–16 g/dl |
| Hematocrit | 42 | 37–47% |
| Platelets | 443 | 150–400 thousand/μl |
| Leukocytes | 14,9 | 4–10 thousand/μl |
| Neutrophils (thousand/μl) | 3,36 | 2–8 thousand/μl |
| Lymphocytes (thousand/μl) | 9,30 | 1–5 thousand/μl |
| Monocytes (thousand/μl) | 0,91 | 0,2–0,8 thousand/μl |
| Eosinophils (thousand/μl) | 1,31 | 0–0,5 thousand/μl |
| Basophils (thousand/μl) | 0,05 | 0–0,1 thousand/μl |
| Neutrophils (%) | 22,5 | 50–70% |
| Lymphocytes (%) | 62,3 | 20–45% |
| Monocytes (%) | 6,1 | 2–8% |
| Eosinophils (%) | 8,8 | 0–5% |
| Basophils (%) | 0,3 | 0–1% |
| CRP | <1,0 | 0–5 mg/dl |
| Mycoplasma pneumonie IgM | >27,00 | Negative result: <10 AU/ml, Positive result: ≥10 AU/ml |
| Total IgE | 109 | 0–100 lU/ml |