Dermatitis papulosa eruptiva infantilis

Dermatitis papulosa eruptiva infantilis or Gianotti-Crosti syndrome is a disease caused by coxsackie virus.

Epidemiology
It occurs in children between 1 and 6 years of age, mostly in boys. It may also occur in association with hepatitis B or Epstein-Barr virus.

Clinical image

 * Prodromal symptoms, fever, fatigue, upper respiratory tract disease.
 * Papulovesicular exanthema, which does not itch, appears on the cheeks, buttocks and extensor surfaces of the extremities.
 * Eflorescence is hemorrhagic, omits the trunk and may coalesce into large foci.
 * Lymphadenopathy and hepatosplenomegaly may be present.

Therapy
There is only symptomatic therapy.

Course and prognosis
Exanthema disappears after about 2-3 weeks, rarely after 8 weeks.

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