Classic manifestations are Fever (for 5 to 7 days) Multiple skin lesions (petechiae, papules, pustules, hemorrhagic vesicles or bullae, necrotic lesions) on mucosal surfaces and on the skin of the trunk, hands, or lower extremities Migratory arthralgias, arthritis, and tenosynovitis (often involves multiple tendons), most often the small joints of the hands, wrists, elbows, knees, and ankles, and rarely the axial skeletal joints Symptoms of the original mucosal infection (eg, urethritis, cervicitis) may not be present.