In the month of March, a 28-year-old female patient attends the emergency room with nausea and intense vomiting, myalgia and pruriginous skin rash in the past 3 days, as shown in the pictures. Denies fever or bleeding. Laboratory tests: hemoglobin: 11,8g/dl; hematocrit: 31,2%; leucocytes: 11.000/mm3; platelets: 43.000/mm3; VDRL: negative; rapid test for viral antigens/NS1 for dengue fever: positive.