Viral Exanthem

Reference work entry

Illustrative Case

An 18-month-old boy was brought to the clinic because of 1 day history of erythematous rash over hands and forearms as well as feet. This rash was associated with fever. The rash was judged by physician to be urticarial in nature and he was given oral prednisone for 3 days. His condition improved slightly but 1 day after stopping the steroid, fever recurred and the rash became more widespread to involve the trunk and face. It was noticed to be more pronounced in the diaper area. His conjunctiva and lips were also red. He was admitted to the hospital and was judged to have Steven-Johnson syndrome and was given parenteral methylprednisone for 5 days. His condition improved slightly and was discharged from the hospital. At home, he was noted to have skin peeling of the hands and feet. His fever relapsed 2 days after discharge. He was seen again in a tertiary hospital and he was found to have high fever of 39.7°C, strawberry tongue, fissured red lips, and maculopapular...

Keywords

Kawasaki Disease Toxic Epidermal Necrolysis Toxic Shock Syndrome Scarlet Fever Secondary Syphilis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Cherry JD (1992) Cutaneous manifestations of systemic infections. In: Feigen RD, Cherry JD (eds) Textbook of paediatric infectious diseases, 3rd edn. W.B. Saunders, Philadelphia, pp 755–782Google Scholar
  2. Fölster-Holst R, Kreth HW (2009) Viral exanthems in childhood – infectious (direct) exanthems. Part 2: Other viral exanthems. J Dtsch Dermatol Ges 7:414–418PubMedGoogle Scholar
  3. Fölster-Holst R, Wolfgang Kreth H (2009a) Viral exanthems in childhood – infectious (direct) exanthems. Part 1: Classic exanthems. J Dtsch Dermatol Ges 7:309–316PubMedGoogle Scholar
  4. Fölster-Holst R, Wolfgang Kreth HW (2009b) Viral exanthems in childhood – Parainfectious exanthems and those associated with virus-drug interactions. Part 3: Other viral exanthems. J Dtsch Dermatol Ges 7:506–510PubMedGoogle Scholar
  5. Frieden IJ, Resnick SD (1991) Childhood exanthems. Paediatr Clin N Am 38(4):859–887Google Scholar
  6. Hartley AH, Rasmussen JE (1988) Infectious exanthems. Paediatr Rev 9(10):321–329CrossRefGoogle Scholar
  7. Levin S, Goodman LJ (1995) An approach to acute fever and rash in the adult. Curr Clin Topics Inf Dis 15:19–75Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of PediatricsKing Soud bin Abdulaziz University for Health SciencesRiyadhSaudi Arabia

Personalised recommendations