InfectionConditionCharacteristicsRash
Coxsackie virusHand-foot-and-mouth diseaseOral lesions on the tongue, buccal mucosa, palate, uvula, and tonsillar pillarsVesicular eruptions and erythematous macules on the palms and soles but may also affect buttocks and perineum
Herpes simplex virusErythema multiformeImmune-mediated condition characterized by the abrupt onset of rashErythematous macules that progress to papules and then target lesions; favors the face and distal extremities; painful vesiculobullous lesions of the mucosa may be present
Measles virusMeasles (rubeola)Prodrome of fever, cough, nasal congestion and rhinoconjunctivitis; Koplik spots (gray-white papules on the buccal mucosa) are pathognomonicErythematous macules and papules spreading from the trunk to the extremities
Rickettsia rickettsiiRocky Mountain spotted feverFever, headaches, myalgias, and gastrointestinal symptomsErythematous macules that start around the wrist and ankles and spread across the body but spare the face; papular lesions on the palms and soles
Treponema pallidumSecondary syphilisPresents up to six months after primary lesion if left untreated; low-grade fever, malaise, sore throat, adenopathy, and myalgiasGeneralized maculopapular eruption involving the face, trunk, extremities, palms, and soles; may involve mucous membranes and develop patchy alopecia