History debunks Dr Google's rash diagnosis

A quick internet search leads to a self-misdiagnosis and delay in finding the more serious cause of symptoms

Emily is a 48-year-old office worker who presents with a three-day history of reddish-brown rash, myalgia and arthralgia.

blood test

The rash is intensely and distressingly itchy and is widespread across her trunk. She also has slightly pink palms, but her feet are not affected.

She suspects she has measles, which is the diagnosis according to ‘Dr Google’.

She has had no associated fever, coryza or conjunctivitis. She travelled to Bali for a 10-day holiday one month ago.

She does not recall any