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Research Article Open access CC BY 4.0

Unilateral Mediothoracic Exanthem – Report of the Third Patient in the Literature

Antonio Chuh, Vijay Zawar

International Journal of TROPICAL DISEASE & Health · pp. 1–4 · Published 28 Dec 2015

10.9734/IJTDH/2016/22992

Abstract

Background: We have previously described two patients with a paraviral exanthem known as unilateral mediothoracic exanthem, which we believe to be intimately related to asymmetric periflexural exanthem and/or unilateral laterothoracic exanthem. Presentation of Case:   A 20-year-old male presented with an erythematous belt of erythema and papules on the left anterior aspect of the thoracic cage. The lesions jumped across the dermatomes from T4/T5 laterally to T6 medially, and stopped abruptly at the midline. Vesicles were not seen for the entire course of the eruption. Lesional histopathology revealed perisudoral lymphocytic infiltrates, which is a characteristic, though not pathognomonic, feature of asymmetric periflexural exanthem / unilateral laterothoracic exanthem. Complete rash remission was noted in two weeks. Conclusion: The rash distribution and the lesional histopathological changes are compatible with unilateral mediothoracic exanthem, a variant of two paraviral exanthems. This is the third reported patient with unilateral mediothoracic exanthem.

Asymmetric periflexural exanthema Gianotti-Crosti syndrome paraviral exanthema pityriasis rosea unilateral laterothoracic exanthema viral exanthema.

References (4)

  1. 1 Unilateral laterothoracic exanthem in children: A new disease? [DOI]
  2. 2 Diagnostic criteria for Gianotti-Crosti syndrome: a prospective case-control study for validity assessment.
  3. 3 A New Concept: Paraviral Eruptions [DOI]
  4. 4 Asymmetric periflexural exanthem of childhood [DOI]

Cited by 9

Infektiöse Exantheme im Kindesalter

Regina Fölster‐Holst · JDDG: Journal der Deutschen Dermatologischen Gesellschaft · 2020

Paravirale Exantheme

R. Fölster-Holst, V. Zawar, A. Chuh · Der Hautarzt · 2017

INFECTIOUS EXANTHEMA IN CHILDREN

E. O. Utenkova · CHILDREN INFECTIONS · 2018

Infectious exanthemas in childhood

Regina Fölster‐Holst · JDDG: Journal der Deutschen Dermatologischen Gesellschaft · 2020

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