Urticarial Eruption Associated with Rheumatic Fever in a Child

: The classic description of erythema marginatum is of a few asymptomatic erythematous patches or plaques with a characteristic central clearing which may coalesce and develop a polycyclic configuration. We report a boy with a urticarial eruption without the classic lesions of erythema marginatum in...

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Bibliographic Details
Published in:Pediatric dermatology 1999-07, Vol.16 (4), p.288-291
Main Authors: Nousari, Hossein C., Kimyai‐Asadi, Arash, Ketabchi, Nooshin, Cohen, Bernard A.
Format: Article
Language:English
Subjects:
Adolescent
Bacterial diseases
Biological and medical sciences
Erythema - etiology
Heart Block - complications
Heart Block - drug therapy
Human bacterial diseases
Humans
Infectious diseases
Male
Medical sciences
Mitral Valve Insufficiency - complications
Mitral Valve Insufficiency - drug therapy
Rheumatic Heart Disease - complications
Rheumatic Heart Disease - drug therapy
Staphylococcal infections, streptococcal infections, pneumococcal infections
Streptococcus pyogenes - isolation & purification
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Summary:: The classic description of erythema marginatum is of a few asymptomatic erythematous patches or plaques with a characteristic central clearing which may coalesce and develop a polycyclic configuration. We report a boy with a urticarial eruption without the classic lesions of erythema marginatum in whom the diagnosis of rheumatic fever was subsequently made. Histology of the urticarial lesions revealed a mixed, superficial, perivascular infiltrate with prominent eosinophils. Rheumatic fever should be considered in children with fever and urticaria‐like eruptions even in the absence of the classically described erythema marginatum.
ISSN:0736-8046
1525-1470
DOI:10.1046/j.1525-1470.1999.00076.x