病儿，女，7个月，发热伴皮疹7天。查体:体温390C，精神可，躯干部皮肤散在红色斑丘疹，双下肢散在靶形红色斑丘疹。颈部可触及3个黄豆大小淋巴结。前®平软。双结膜充血，无流泪，口唇黏膜干燥，舌质红，呈杨梅舌。心月市査体无明显异常。肝脏肋下约1cm，脾脏未触及。手足红肿、硬。该病儿最可能的诊断是

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