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What's new with common, uncommon and rare rashes in childhood.
Curr Opin Pediatr. 2015 Apr; 27(2):261-6.CO

Abstract

PURPOSE OF REVIEW

Children with rashes account for many of the outpatient visits to a general pediatrician. As such, pediatricians are often the first to identify and treat these rashes. Establishing an approach to common, uncommon and rare pediatric rashes assists in accurate assessment. This review highlights newly identified clinical patterns and disease severity.

RECENT FINDINGS

Group A β-hemolytic streptococci (GABHS) have been shown to be an important cause of intertrigo and to cause more widespread disease in some instances. Superficial skin infections with GABHS have been associated with strains secreting exfoliating toxins, whereas deeper infections have been associated with superantigen toxins. Hand-foot-and-mouth disease (HFMD) outbreaks have occurred with more virulent strains, causing more widespread disease that may be confused with eczema herpeticum or varicella. Mycoplasma pneumoniae has been shown to be an important cause of common disorders such as urticaria, and less common disorders such as Stevens-Johnson syndrome and Mycoplasma-associated mucositis. Recurrent toxin-mediated erythema is a recently described entity that must be differentiated from Kawasaki disease.

SUMMARY

The number of rashes acquired in childhood is vast, requiring the pediatrician to be able to identify worrisome rashes from those with a more benign course. Key clinical signs may assist in clinical diagnosis and treatment.

Authors+Show Affiliations

aGeisel School of Medicine at Dartmouth, Hanover, New Hampshire bUniversity of Connecticut, Farmington, Connecticut, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

25689452

Citation

Dinulos, James G.. "What's New With Common, Uncommon and Rare Rashes in Childhood." Current Opinion in Pediatrics, vol. 27, no. 2, 2015, pp. 261-6.
Dinulos JG. What's new with common, uncommon and rare rashes in childhood. Curr Opin Pediatr. 2015;27(2):261-6.
Dinulos, J. G. (2015). What's new with common, uncommon and rare rashes in childhood. Current Opinion in Pediatrics, 27(2), 261-6. https://doi.org/10.1097/MOP.0000000000000197
Dinulos JG. What's New With Common, Uncommon and Rare Rashes in Childhood. Curr Opin Pediatr. 2015;27(2):261-6. PubMed PMID: 25689452.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - What's new with common, uncommon and rare rashes in childhood. A1 - Dinulos,James G, PY - 2015/2/18/entrez PY - 2015/2/18/pubmed PY - 2015/12/22/medline SP - 261 EP - 6 JF - Current opinion in pediatrics JO - Curr Opin Pediatr VL - 27 IS - 2 N2 - PURPOSE OF REVIEW: Children with rashes account for many of the outpatient visits to a general pediatrician. As such, pediatricians are often the first to identify and treat these rashes. Establishing an approach to common, uncommon and rare pediatric rashes assists in accurate assessment. This review highlights newly identified clinical patterns and disease severity. RECENT FINDINGS: Group A β-hemolytic streptococci (GABHS) have been shown to be an important cause of intertrigo and to cause more widespread disease in some instances. Superficial skin infections with GABHS have been associated with strains secreting exfoliating toxins, whereas deeper infections have been associated with superantigen toxins. Hand-foot-and-mouth disease (HFMD) outbreaks have occurred with more virulent strains, causing more widespread disease that may be confused with eczema herpeticum or varicella. Mycoplasma pneumoniae has been shown to be an important cause of common disorders such as urticaria, and less common disorders such as Stevens-Johnson syndrome and Mycoplasma-associated mucositis. Recurrent toxin-mediated erythema is a recently described entity that must be differentiated from Kawasaki disease. SUMMARY: The number of rashes acquired in childhood is vast, requiring the pediatrician to be able to identify worrisome rashes from those with a more benign course. Key clinical signs may assist in clinical diagnosis and treatment. SN - 1531-698X UR - https://www.unboundmedicine.com/medline/citation/25689452/What's_new_with_common_uncommon_and_rare_rashes_in_childhood_ L2 - https://doi.org/10.1097/MOP.0000000000000197 DB - PRIME DP - Unbound Medicine ER -