A patient presents complaining of recent onset of aching and malaise followed by the development of a generalized rash.He denies previous rash although he does admit that about a month ago he had an open sore on his right hand that was nonpainful.The exam reveals a maculopapular rash and lymphadenopathy.This presentation is most consistent with:

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The presentation of a generalized rash, along with lymphadenopathy and a history of an open sore, is highly suggestive of secondary syphilis. Pityriasis rosea typically presents with a herald patch followed by a generalized rash. Herpetic whitlow presents with localized vesicles on the fingers. Pyogenic granuloma appears as a fleshy, often pedunculated, growth on the skin.

A Patient Presents Complaining of Recent Onset of Aching and Malaise