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      Exantema periflexural asimétrico de la infancia, común e infradiagnosticado Translated title: Asymmetric periflexural exanthem of childhood, common and underdiagnosed

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          Abstract

          Resumen El exantema periflexural asimétrico de la infancia es una entidad benigna y autolimitada que se manifiesta típicamente en lactantes y preescolares con predominio del sexo femenino. La etiología es desconocida, aunque se ha relacionado con infecciones virales principalmente, y también bacterianas. El diagnóstico es clínico y el tratamiento sintomático. A pesar de ser una enfermedad común, es infradiagnosticada debido en parte al desconocimiento de esta. Nuestro objetivo es contribuir para mejorar el conocimiento de este trastorno. Se presenta el caso clínico de una paciente diagnosticada de exantema periflexural asimétrico con el antecedente de pielonefritis aguda la semana anterior a la aparición de las lesiones cutáneas.

          Translated abstract

          Abstract Asymmetric periflexural exanthem of childhood is a benign and self-limited disease that characteristically occurs in infants and preschool children with a female predominance. The aetiology is unknown, although it has been mainly linked to viral infections. Diagnosis is clinical and treatment is mainly symptomatic. Despite being a common disease, it is unknown and consequently underdiagnosed. Our goal is to help improving the knowledge of this disorder. We present a clinical case of a patient diagnosed with asymmetric periflexural exanthema with a history of acute pyelonephritis the previous week of the skin lesion onset.

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          Most cited references7

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          Asymmetric periflexural exanthem of childhood: a clinical, pathologic, and epidemiologic prospective study.

          To assess the clinical, pathologic, and epidemiologic features of asymmetric periflexural exanthem of childhood (APEC), a clinically distinctive eruption, especially its link with pityriasis rosea and pattern of transmission. A prospective case series, including an analysis of epidemiologic triggering factors and mode of transmission. Pathologic study, including immunohistochemistry of the inflammatory infiltrate. A mixed, community-based referral center. A total of 37 girls and 30 boys with typical APEC referred from April 1994 to December 1996 were included in the study; 82% came from the greater Bordeaux area in France. None. Possible interhuman transmission of APEC. [corrected] No triggering factor was identified; no interhuman transmission occurred; and no demonstrable link with pityriasis rosea was apparent. Several new clinical variants were recognized or confirmed (high fever, facial and peripheral involvement, prolonged course). Distinctive perisudoral interface CD8+ infiltrate was suggestive of diagnosis. Interhuman transmission was doubtful, but inoculation disorder was still possible. Histopathologic findings seem more specific than previously thought.
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            A new papular erythema of childhood.

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              Exantema laterotorácico unilateral en un adulto: reporte de un caso relacionado a infección por Mycoplasma pneumoniae

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                Author and article information

                Journal
                pap
                Pediatría Atención Primaria
                Rev Pediatr Aten Primaria
                Asociación Española de Pediatría de Atención Primaria (Madrid, Madrid, Spain )
                1139-7632
                March 2020
                : 22
                : 85
                : 55-58
                Affiliations
                [1] Madrid orgnameHospital Universitario Ramón y Cajal España
                [2] Madrid orgnameCentro de Salud Mar Báltico España
                Article
                S1139-76322020000100013 S1139-7632(20)02208500013
                e888fe4a-ae31-4ee3-8779-c58abe861896

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 7, Pages: 4
                Product

                SciELO Spain

                Categories
                Notas Clínicas

                Preescolar,Skin disease,Toddler,Infant,Exanthema,Lactante,Exantema,Enfermedad de la piel

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