A Rare, Recurrent, Red, Ringed Rash in a Young Girl

Patient also has fever, fatigue, and nonpainful nodules with the rash, which is worse after exertion. What is your diagnosis?

A typically active 8-year-old girl is seen after the holiday season for symptoms that intially don't seem connected to the scratchy throat and cold she experienced, along with many of her classmates, around Thanksgiving time.While that ilness is long-resolved, there are troublesome new symptoms, including bumps near joint insertions, severe fatigue, and an evanescent rash, that have her mother extremely concerned.

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