Examination:
Upon examining his skin and mucus membrane multiple purpuric, punctuate, tiny macules in palms and fingertips of both hands were noted (figure 1). These macules also appeared on the oral and nasal mucosae as well as on the tongue (figure 2 and 3). His cardiac examinations revealed normal first and second heart sounds with pansystolic functional murmur. When examining his abdomen, his liver and spleen were palpable (10 and 6 cm below the costal margin, respectively) with normal other measures.