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The macules appeared first on the tongue and palate,
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and then, within twenty-four hours,
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it spread to cover the body, down to the palms of the hands
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and soles of the feet.
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On the cheek and forehead, the appearance is of severe
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sunburn, and indeed the sensation felt by the patient is
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of scalding pain or intense burning.
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There's a characteristic pattern,
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called centrifugal distribution;
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that is, that the rash is least spread
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on the trunk of the body and
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most densely apparent on the face