Patients often cannot recall an inciting event, but a history of recent trauma or pharyngitis may be elicited. Prodromal symptoms, such as malaise, chills, and high fever, often begin before the onset of the skin lesions and, if present, usually occur within 48 hours of cutaneous involvement. Pruritus, burning, tenderness, and swelling are typical complaints.
Other symptoms may include the following:
Muscle and joint pain
Headache and other systemic manifestations of an infectious process