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A. Petechiae on the ankles of a patient with Rocky Mountain spotted fever. B. Petechiae involving hand, wrist, and forearm. [From the Centers for Disease Control and Prevention; National Center for Emerging and Zoonotic Infectious Diseases; Division of Vector-Borne Diseases: Rocky Mountain Spotted Fever. www.cdc.gov/rmsf/symptoms/. Updated September 5, 2013.] Source: Skin Disorders: Extremities, Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e Citation: Tintinalli JE, Stapczynski J, Ma O, Yealy DM, Meckler GD, Cline DM. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e; 2016 Available at: http://mhmedical.com/ Accessed: April 30, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved