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Giannotti-Crosti Syndrome
This rash arose a week after a 6-year-old boy complained of chills, nausea, and sore throat. WHat's the cause?
A 6-year-old boy was brought for medical evaluation when he broke out with innumerable pea-sized and -shaped, asymptomatic red papulonodules on cheeks, buttocks, and upper thighs. The week before onset of the rash, the child had not been feeling well and had complained of chills, nausea, and a sore throat. One objective temperature measurement showed 102.8°F.
Key point: This morphology is classic for an entity known as Giannotti-Crosti syndrome; this eruption is typically associated with viral illness in children up to age 12, most notably: hepatitis C virus, echovirus and enterovirus infections, and recent acquisition of Epstein-Barr virus (EBV).
Treatment: There is no specific treatment. Most underlying viral illnesses slowly fade during the acute phase of this distressing disease. Topical corticosteroids can be used to alleviate itching.
Note: In the United States, EBV infections are the most common associated factor.
Young woman with tick bites presents with erythematous papules, headaches, and fatigue
April 8th 2024A young woman with no significant past medical history returns from hiking with several white-spotted ticks and experiences erythematous papules, rashes, headaches, and fatigue. What’s the diagnosis?
Recognize & Refer: Hemangiomas in pediatrics
July 17th 2019Contemporary Pediatrics sits down exclusively with Sheila Fallon Friedlander, MD, a professor dermatology and pediatrics, to discuss the one key condition for which she believes community pediatricians should be especially aware-hemangiomas.
