Jane is a 44-year-old who presents with a two-day history of a rash on the face.

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<p>Jane is a 44-year-old who presents with a two-day history of a rash on the face.</p><p>She has associated malaise and fever. Jane has a history of Crohn’s disease, which has been stable for several years on infliximab.</p><p>She is otherwise well and denies recent sun exposure, change in medications or topical product use.</p><p>Jane’s daughter was unwell 10 days ago with tonsillitis, requiring penicillin.</p><p>On examination, Jane is mildly tachycardic (HR 96 beats per minute), and temperature is 38.2°C.</p><p>There are well-demarcated, raised, red, warm, firm, confluent plaques with a peau d’orange appearance affecting both cheeks and the nasal bridge (pictured).</p><p>Oropharyngeal examination is normal. There is bilateral tender cervical lymphadenopathy.</p>

Dr Kate Kelso is a GP and medical editor at Australian Doctor.