Lisa A. Drage, M.D.  Mayo Clinic Proceedings 

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Life-Threatening Rashes: Dermatologic Signs of Four Infectious Diseases  Lisa A. Drage, M.D.  Mayo Clinic Proceedings  Volume 74, Issue 1, Pages 68-72 (January 1999) DOI: 10.4065/74.1.68 Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Rocky Mountain spotted fever. Rash demonstrates centripetal spread; it begins acrally and moves centrally to involve trunk. (Photograph courtesy of Dr. Walter R. Wilson, Division of Infectious Diseases, Mayo Clinic Rochester.) Mayo Clinic Proceedings 1999 74, 68-72DOI: (10.4065/74.1.68) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Fulminant meningococcemia. Purpura fulminans. Widespread ecchymoses and hemorrhagic bullae. Mayo Clinic Proceedings 1999 74, 68-72DOI: (10.4065/74.1.68) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 Fulminant meningococcemia. Purpura fulminans. Purpura and flaccid bullae. Mayo Clinic Proceedings 1999 74, 68-72DOI: (10.4065/74.1.68) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 Staphylococcal toxic shock syndrome. Desquamative erythroderma; exfoliation of palms and soles is late finding. Mayo Clinic Proceedings 1999 74, 68-72DOI: (10.4065/74.1.68) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 5 Staphylococcal toxic shock syndrome. Strawberry tongue. Mayo Clinic Proceedings 1999 74, 68-72DOI: (10.4065/74.1.68) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 6 Streptococcal toxic shock syndrome. Necrotizing fasciitis. Violaceous bullae with surrounding erythema and edema. (Photograph courtesy of Dr. Walter R. Wilson, Division of Infectious Diseases, Mayo Clinic Rochester.) Mayo Clinic Proceedings 1999 74, 68-72DOI: (10.4065/74.1.68) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions