Male With Sore Throat

A 26-year-old man presented to our emergency department, complaining of a sore throat. The patient had recently received a diagnosis of mononucleosis. He later developed a rash, for which he presented to another hospital, but was discharged home. He then presented to our hospital 3 days later, complaining of a severe sore throat and inability to tolerate solid foods. Physical examination result was remarkable for a skin eruption consisting of violaceous nodules covering his face, tonsils, and mucus membranes (Figure).

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