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Shende AA, Chikhalkar SB. A Cross-Sectional Study of Epidemiological and Clinical Aspects of Pityriasis Rosea along with Dermoscopic Analysis and Histopathology Correlation. Indian J Dermatol 2024; 69:145-151. [PMID: 38841213 PMCID: PMC11149824 DOI: 10.4103/ijd.ijd_1071_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2024] Open
Abstract
Background Pityriasis Rosea (PR) is a common, yet enigmatic, dermatological condition characterized by a distinctive clinical presentation. Despite its prevalence, the aetiology and pathogenesis of PR remain elusive. Aims To study the epidemiological and clinical aspects of patients with PR. To study dermoscopic findings and carry out histopathological correlation. Methods A cross-sectional study of 50 patients was conducted. A detailed clinical history was taken and an examination was done followed by a dermoscopy. Quantitative data like age and duration of disease are presented with the help of standard deviation. Qualitative risk factors, like gender, age groups, symptomatology, site of lesion, findings or cutaneous examination, dermoscopy findings, and histopathology findings, are presented with the help of frequency and percentages. Results PR shows male preponderance and mean age of occurrence being 30.8 ± 15.7 years. Forty per cent of patients had an atypical clinical presentation. The most frequently seen dermoscopy findings were diffuse red background (58%), peripheral collarette scale (62%), and peripheral dotted vessels (50%). On histopathology, the most common findings were spongiosis (44%), parakeratosis (38%), irregular acanthosis (34%), perivascular lymphocytic infiltrate (56%), and red blood cell extravasation (36%). Limitations Sample size was less due to COVID. As this was a corss-sectional study follow up of patients could not be done. Conclusion While the diagnosis of PR is clinical, it is difficult in atypical cases where dermoscopy comes to the aid. It also helps identify the age of lesions, thus helping decide the treatment strategy for patients. Biopsy remains the gold standard in ruling out other differentials of PR.
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Affiliation(s)
- Aditi A. Shende
- From the Department of Dermatology, Venereology and Leprosy, Symbiosis Medical College for Women and Symbiosis University Health and Research Centre, Pune, Maharashtra, India
| | - Siddhi B. Chikhalkar
- Department of Dermatology, Venereology and Leprosy, Seth G S Medical College and KEM Hospital, Mumbai, Maharashtra, India
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2
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Oboli VN, Ebong IL, Tejada Amaro O, Regis JA, Waseem M. Gianotti-Crosti Syndrome: A Benign Dermatosis. Cureus 2023; 15:e40328. [PMID: 37313283 PMCID: PMC10260319 DOI: 10.7759/cureus.40328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/12/2023] [Indexed: 06/15/2023] Open
Abstract
Gianotti-Crosti syndrome (GCS) is a benign acral dermatitis commonly seen in children younger than five years of age with no gender predilection. Clinical features are often vague, including but not limited to fever, lymphadenopathy, and erythematous papular rash that commonly spares the trunk, palms, and soles of the feet. It is presumably underdiagnosed as most children presenting with a widespread papular rash are diagnosed with non-specific viral exanthem. This benign condition has been linked to multiple viruses, and treatment is mainly supportive. We present a previously healthy 18-month-old girl who presented to the emergency room with a progressive skin rash and low-grade fever 10 days after receiving routine immunizations. GCS was diagnosed, and she received supportive care with spontaneous resolution of symptoms in four weeks.
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Affiliation(s)
- Victor N Oboli
- Pediatrics, NYC (New York City) Health + Hospitals/Lincoln, New York, USA
| | - Imoh L Ebong
- Pediatrics, NYC (New York City) Health + Hospitals/Woodhull, New York, USA
| | | | - Jefferson A Regis
- School of Medicine, St. George's University School of Medicine, St. George's, GRD
| | - Muhammad Waseem
- Pediatrics and Emergency Medicine, NYC (New York City) Health + Hospitals/Lincoln, New York, USA
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3
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VALENCIA-HERRERA A, GANOZA-GRANADOS L, CAMARGO-SÁNCHEZ K, CHIRINO-BARCELÓ YA, TOLEDO-BAHENA M. Asymmetrical Periflexural Exanthem Associated with SARS-CoV-2 Infection in a Paediatric Patient. Acta Derm Venereol 2023; 103:adv00839. [PMID: 36172694 PMCID: PMC9885288 DOI: 10.2340/actadv.v102.3499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Accepted: 09/12/2022] [Indexed: 01/07/2023] Open
Abstract
Abstract is missing (Short communication)
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Affiliation(s)
- Adriana VALENCIA-HERRERA
- Dermatology Service, Hospital Infantil de México Federico Gómez, Doctor Márquez 162 Delegación Cuauhtémoc, Colonia Doctores, CP 06720 Mexico City
| | - Luciana GANOZA-GRANADOS
- Dermatology Service, Hospital Infantil de México Federico Gómez, Doctor Márquez 162 Delegación Cuauhtémoc, Colonia Doctores, CP 06720 Mexico City
| | - Karen CAMARGO-SÁNCHEZ
- Dermatology Service, Hospital Infantil de México Federico Gómez, Doctor Márquez 162 Delegación Cuauhtémoc, Colonia Doctores, CP 06720 Mexico City
| | | | - Mirna TOLEDO-BAHENA
- Dermatology Service, Hospital Infantil de México Federico Gómez, Doctor Márquez 162 Delegación Cuauhtémoc, Colonia Doctores, CP 06720 Mexico City,E-mail:
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Yan J, Xu B. Rare cutaneous manifestations of parvovirus B19 infection in a child. J Paediatr Child Health 2021; 57:749-750. [PMID: 32722887 DOI: 10.1111/jpc.15030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 05/24/2020] [Accepted: 06/02/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Jiadi Yan
- Department of Dermatology, Nanyang Central Hospital, Nanyang, China
| | - Baolai Xu
- Department of Dermatology, Nanyang Central Hospital, Nanyang, China
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5
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García-Lozano JA, Shum-Tien J, Sosa-Pedreschi A, Ávila Cárdenas J. Multiple angioma-like papules with a perilesional halo in a dark skin adult. Australas J Dermatol 2020; 62:e138-e139. [PMID: 32981082 DOI: 10.1111/ajd.13431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 06/29/2020] [Accepted: 07/11/2020] [Indexed: 11/26/2022]
Affiliation(s)
- José Alberto García-Lozano
- Facultad de Medicina y Hospital Universitario "Dr. José E. González'', Servicio de Dermatología, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Jackie Shum-Tien
- Servicio de Dermatología, Hospital Santo Tomás, Ciudad de Panamá, Panama
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Ventresca S, Sprocati M. Lateralized exanthem in childhood. Ital J Dermatol Venerol 2020; 156:98-99. [PMID: 32129052 DOI: 10.23736/s2784-8671.20.06477-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Silvia Ventresca
- Department of Pediatrics, University of Ferrara, Ferrara, Italy -
| | - Monica Sprocati
- Department of Pediatrics, University of Ferrara, Ferrara, Italy
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Leung AKC, Sergi CM, Lam JM, Leong KF. Gianotti-Crosti syndrome (papular acrodermatitis of childhood) in the era of a viral recrudescence and vaccine opposition. World J Pediatr 2019; 15:521-527. [PMID: 31134587 DOI: 10.1007/s12519-019-00269-9] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Accepted: 05/07/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND Gianotti-Crosti syndrome is characterized by an acute onset of a papular or papulovesicular eruption with a symmetrical distribution. DATA SOURCES A PubMed search was conducted using Clinical Queries with the key terms "Gianotti-Crosti syndrome" OR "papular acrodermatitis". The search strategy included meta-analyses, randomized controlled trials, clinical trials, observational studies, and reviews. This paper is based on, but not limited to, the search results. RESULTS The eruption of Gianotti-Crosti syndrome is found predominantly on the cheeks, extensor surfaces of the extremities, and buttocks. There is a sparing of antecubital and popliteal fossae as well as palms, soles, and mucosal surfaces. Although often asymptomatic, the lesions may be mildly to moderately pruritic. Gianotti-Crosti syndrome is most common in children between 1 and 6 years of age. The Epstein-Barr virus and the hepatitis B virus are the most common pathogens associated with Gianotti-Crosti syndrome. No treatment for Gianotti-Crosti syndrome is necessary because it is self-limited. In an era of vaccine hesitancy and refusal, Gianotti-Crosti syndrome may be important to mention to parents, because it can occur and trigger alarmism. CONCLUSIONS Gianotti-Crosti syndrome is mainly a disease of early childhood, characterized by an acute onset of a papular or papulovesicular eruption with a symmetrical distribution. With the advent of more universal vaccination against hepatitis B virus, Epstein-Barr virus has become the most common etiologic agent of Gianotti-Crosti syndrome. Few cases of post-vaccination Gianotti-Crosti syndrome have been reported. Currently, the emphasis should be placed on its self-limiting attribution.
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Affiliation(s)
- Alexander K C Leung
- Department of Pediatrics, The University of Calgary, Calgary, Canada. .,The Alberta Children's Hospital, #200, 233-16th Avenue NW, Calgary, AB, T2M 0H5, Canada.
| | | | - Joseph M Lam
- Departments of Pediatrics, Dermatology and Skin Sciences, University of British Columbia, Vancouver, BC, Canada
| | - Kin Fon Leong
- Pediatric Institute, Kuala Lumpur General Hospital, Kuala Lumpur, Malaysia
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Dermatologic Problems Commonly Seen by the Allergist/Immunologist. THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE 2019; 8:102-112. [PMID: 31351991 DOI: 10.1016/j.jaip.2019.07.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Revised: 07/03/2019] [Accepted: 07/04/2019] [Indexed: 11/23/2022]
Abstract
Allergists/immunologists see a variety of skin disorders, some of which have a known immunologic basis whereas others do not. We review the prevalence, etiology, clinical presentation, and effective and low-cost care of common dermatologic conditions seen in outpatient practices. Conditions discussed include pityriasis alba, seborrheic dermatitis, rosacea, acne, tinea infections, intertrigo, lichen planus, tinea versicolor, lichen simplex chronicus, scabies, pityriasis rosea, keratosis pilaris, and seborrheic keratosis. An understanding of frequently encountered cutaneous diseases and their therapies will help provide immediate access to treatment and improve the experience for both the affected patient and the clinician.
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Knöpfel N, Noguera-Morel L, Latour I, Torrelo A. Viral exanthems in children: A great imitator. Clin Dermatol 2019; 37:213-226. [PMID: 31178104 DOI: 10.1016/j.clindermatol.2019.01.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Viral exanthems are frequent in children and are mostly self-limited. Early recognition and differentiation from other childhood illnesses are important to direct further investigations and treatment initiation. The clinical presentation of viral exanthems in children includes a polymorphic spectrum of skin eruptions ranging from classic viral exanthems to "atypical" presentations that can mimic nonviral diseases; thus, viral exanthems of childhood can be readily diagnosed on clinical grounds, but not rarely do they represent a diagnostic challenge. In this review, we focus on viral diseases in children that may be difficult to diagnose due to their clinical similarities with nonviral diseases, and we offer clues for the differential diagnosis and proper diagnostic testing in such cases.
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Affiliation(s)
- Nicole Knöpfel
- Department of Pediatric Dermatology, University Children's Hospital Zurich, Zurich, Switzerland; Department of Dermatology, University Children's Hospital Niño Jesús, Madrid, Spain
| | - Lucero Noguera-Morel
- Department of Dermatology, University Children's Hospital Niño Jesús, Madrid, Spain
| | - Irene Latour
- Department of Dermatology, University Children's Hospital Niño Jesús, Madrid, Spain
| | - Antonio Torrelo
- Department of Dermatology, University Children's Hospital Niño Jesús, Madrid, Spain.
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Saleem MD, Oussedik E, Picardo M, Schoch JJ. Acquired disorders with hypopigmentation: A clinical approach to diagnosis and treatment. J Am Acad Dermatol 2018; 80:1233-1250.e10. [PMID: 30236514 DOI: 10.1016/j.jaad.2018.07.070] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2017] [Revised: 07/09/2018] [Accepted: 07/13/2018] [Indexed: 02/07/2023]
Abstract
Acquired hypopigmented skin changes are commonly encountered by dermatologists. Although hypopigmentation is often asymptomatic and benign, occasional serious and disabling conditions present with cutaneous hypopigmentation. A thorough history and physical examination, centered on disease distribution and morphologic findings, can aid in delineating the causes of acquired hypopigmented disorders. The second article in this 2-part continuing medical education series focuses on conditions with a hypopigmented phenotype. Early diagnosis and appropriate management of these disorders can improve a patient's quality of life, halt disease progression, and prevent irreversible disability.
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Affiliation(s)
- Mohammed D Saleem
- Department of Internal Medicine, University of Florida College of Medicine and University of Florida Health, Gainesville, Florida.
| | | | - Mauro Picardo
- Department of Dermatology and Pediatric Dermatology, Cutaneous Physiopathology and Integrated Center of Metabolomics Research, San Gallicano Dermatologic Institute, IRCCS, Rome, Italy
| | - Jennifer J Schoch
- Department of Dermatology, University of Florida, Gainesville, Florida; Department of Pediatrics, University of Florida, Gainesville, Florida
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12
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Léauté-Labrèze C. [What's new in pediatric dermatology?]. Ann Dermatol Venereol 2018; 143 Suppl 3:S29-S36. [PMID: 29429507 DOI: 10.1016/s0151-9638(18)30047-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The association of a birth defect and a segmental hemangioma is well established, a consensus concerning evaluation and monitoring of infants with PHACE or LUMBAR syndromes has been published. The efficacy of propranolol in infantile hemangioma is proven; however there were still unresolved issues concerning the safety in children; after 8 years of use on thousands of children safety data collection did not show any unexpected side effects. Topical treatment of infantile hemangiomas with beta-blockers, such as timolol, is very popular, but recent publications revealed a significant systemic absorption that could be responsible for severe side effects, such as bradycardia, in low birthweight infants. As a consequence, this therapeutic option should be considered with caution. In the last 2 years mTOR inhibitors have been tested in low-flow vascular malformations with varying success, but progress remains to be done in the treatment of vascular abnormalities. Today, genetics has led to advances in the understanding of the pathophysiology and in the future targeted therapies could probably be feasible. Skin barrier deficiency is responsible for the development of allergic phenomena in atopic patients, since it has been shown that sensibilisation, even to food, could probably be induced by skin contact. Unfortunately, the topical treatment with crisaborole, a phosphodiesterase 4 inhibitor, does not look like a revolution in children atopic dermatitis, its efficacy seems equivalent to emollient application. In the field of infectious diseases, changes in viral outbreaks are the most reported. Furthermore epidemic Zika virus, enteroviruses are responsible for expanded dermatological manifestations and also severe meningoencephalitis. Paraviral character of various eruptions, such as gloves and socks syndrome or eruptive pseudoangiomatosis is challenged.
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Affiliation(s)
- C Léauté-Labrèze
- Unité de dermatologie pédiatrique et centre de référence des maladies rares de la peau, hôpital Pellegrin-Enfants, CHU de Bordeaux, 33076 Bordeaux Cedex, France.
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Lee D, Loh SW, Tan J, Chong J. Acral-accentuated exanthem in an infant with parechovirus meningitis. Pediatr Dermatol 2018; 35:e20-e21. [PMID: 29205494 DOI: 10.1111/pde.13325] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
We report a case of an infant who had presented with fever and an acral-accentuated rash, for which his cerebrospinal fluid returned positive for parechovirus. He was treated symptomatically and discharged well, with no long-term complications.
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Affiliation(s)
- Dawn Lee
- Department of Pediatrics, KK Women's and Children's Hospital, Singapore, Singapore
| | - Sin Wee Loh
- Department of Pediatrics, KK Women's and Children's Hospital, Singapore, Singapore
| | - Juliet Tan
- Department of Pediatrics, KK Women's and Children's Hospital, Singapore, Singapore
| | - Jinho Chong
- Department of Dermatology, KK Women's and Children's Hospital, Singapore, Singapore
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Abstract
Paraviral exanthems are distinct skin diseases due to infections with different viruses. Although no virus has been identified so far in some exanthems, the main age of manifestation, the clinical course of the exanthem, and the extracutaneous symptoms are suggestive for a viral genesis. While many viral infections are a direct result of the infection, paraviral exanthems reflect the response of the immune system to the infectious pathogens. Viruses cannot be identified in the skin. Typical paraviral exanthems include Gianotti-Crosti syndrome, pityriasis rosea, pityriasis lichenoides, papular-purpuric gloves and sock syndrome, and asymmetrical periflexural exanthema. Unilateral mediothoracic exanthem, eruptive pseudoangiomatosis are rare and eruptive hypomelanosis has been described recently.
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Alcántara-Reifs CM, Salido-Vallejo R. Superimposed lateralized exanthem in a 30-year-old woman. CMAJ 2017; 189:E1146. [PMID: 28893877 DOI: 10.1503/cmaj.170244] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Affiliation(s)
| | - Rafael Salido-Vallejo
- Department of Dermatology, Reina Sofía University Hospital (Alcántara-Reifs, Salido-Vallejo) Córdoba, Spain
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Sudden Onset of Yellow Skin and an Itchy Rash in a 2-year-old Boy. J Nurse Pract 2016. [DOI: 10.1016/j.nurpra.2016.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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