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J Am Acad Dermatol. 1992 Nov;27(5 Pt 1):693-6.

Unilateral laterothoracic exanthem in children: a new disease?

Author information

1
Department of Dermatology, Hospital Necker Enfants malades, Paris, France.

Abstract

BACKGROUND:

We have examined 18 children with a similar laterothoracic exanthem that appears to represent a distinct entity.

OBJECTIVE:

Our purpose was to describe the characteristic signs and clinical course of this eruption and its epidemiology data.

METHODS:

We observed the clinical course of the eruption in each child.

RESULTS:

The eruption has characteristic features. It occurs in a homogeneous age group (mean 23.3 months). It is initially unilateral and localized close to the axilla. The basic lesion is eczematous or scarlatiniform. The eruption evolves in two phases: it spreads centrifugally during the first 8 days and becomes more widespread on the tenth to fifteenth days, with predominant involvement on the half of the body initially affected. The lesions resolve spontaneously within 4 weeks. The long-term course is uneventful.

CONCLUSION:

The similarity of the cases suggests the existence of a new clinical entity. Many features favor a viral origin.

Comment in

PMID:
1430389
DOI:
10.1016/0190-9622(92)70239-c
[Indexed for MEDLINE]

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