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Acral skin lesions of three young adults with fever and painful joints of several days’ duration.
A characteristic eruption accompanying transient gonococcal bacteremia. The lesions are discrete, scanty, 1 mm to 2 cm indiameter, and typically appear on the distal parts of the extremities, often periarticular. They begin as erythematous macules and quickly becomevesiculopustular or hemorrhagic. Occasionally, bullae develop. Mature lesions are elevated and slightly umbilicated and have a gray, necrotic center with anirregular violaceous border. Healing occurs in three to four days, with or without therapy.
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