This previously healthy young girl presented to her primary pediatrician with a 1-week history of intermittent fever to 38.9 degrees Celsius, fatigue, cough, congestion, and a diffuse skin rash.

In the second stage, patients develop a reticulate macular or urticarial exanthem 1–4 days after the slapped cheek eruption, and this second rash is mainly seen over the proximal extremities.

A clinico-epidemiological study of macular amyloidosis from north India. Indian J Dermatol. 2012;57 (4):269-274. Molina-Ruiz AM, Cerroni L, Kutzner H, Requena L. Cutaneous deposits.