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Viral Diseases Diagnosis

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Atypical hand-foot-mouth disease. Vesicles and bullae, some with central umbilication, are frequently seen in this variant of hand-foot-mouth disease. The lesions may be tender.

Source: Section 5 Viral Diseases, Prose NS, Kristal L. Weinberg's Color Atlas of Pediatric Dermatology, 5e; 2017