A Distal Dermatitis

Can you identify this acral eruption of a week's duration on a 3-year-old boy?

A 3-year-old boy is seen for an acral rash of 7 days’ duration-an eruption of symmetric, flesh-colored monomorphous papules on arms, legs, buttocks, and face. Moderately enlarged, tender cervical lymph nodes are palpated.

What is the most likely diagnosis?

A. Erythema multiforme
B. Lichenoid reaction to medications
C. Non-specific viral exanthema
D. Papular acrodermatitis (Gianotti-Crosti Syndrome)
E. Rocky Moutain Spotted Fever
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