Atypical exanthem associated with human herpesvirus 7 active infection in a 24-year-old man

Dear Editor, An otherwise healthy 24-year-old male patient presented to us with a three-day history of a diffuse, pruritic skin eruption preceded by low-grade fever and fatigue in the previous two weeks. Physical examination revealed an atypical exanthem with a polymorphic pattern characterized by diffuse erythematous macular lesions on the forehead, erythema, edema, and vesicles on the ears, erythematous papules on the forearms and trunk, and maculo-papular-petechial lesions on the pubic area and buttocks. An erythematous-purpuric enanthem and symmetrical enlargement of the cervical-axillary lymph nodes were also detected. [...].