23 September 2025
: Case report 
Postictal Petechial Skin Rash (Trout Skin) After a First Epileptic Seizure in a 54-Year-Old Man
Challenging differential diagnosis
Annina Bopp ABCDEF 1*, Sarah Albrecht ADEF 1, Lars C. Huber
ABCDEF 1
DOI: 10.12659/AJCR.948740
Am J Case Rep 2025; 26:e948740
Figure 1 Painless petechial rash from the patient described on the face (A), upper thorax (B), and neck (C) with sharp demarcation at heart level. The rash resembles the speckled pattern of fish skin and is commonly referred to as the “trout phenomenon” (iStock.com/GlobalP) (D).