Protocolo diagnóstico de los exantemas cutáneos eritematopurpúricos

  1. Pedraz, J.
  2. López-Bran, E.
Aldizkaria:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Argitalpen urtea: 2018

Zenbakien izenburua: Enfermedades de la piel (II) Psoriasis, pénfigos, toxicodermias y discromías

Saila: 12

Zenbakia: 48

Orrialdeak: 2872-2876

Mota: Artikulua

DOI: HTTPS://DOI.ORG/10.1016/J.MED.2018.01.003 DIALNET GOOGLE SCHOLAR

Beste argitalpen batzuk: Medicine: Programa de Formación Médica Continuada Acreditado

Laburpena

Concept Erythematous skin rashes can be associated with systemic or general disease, usually caused by an infection. There are numerous diseases in children that present with a rash; some are still of unknown cause and with no effective treatment. Classification Following a morphologic or predominance classification of the lesions we can divide these rashes into: maculopapular, scarlatiniform, papulovesicular, petechial and purpuric (the subject of our protocol), urticarial and exudative erythema multiforme. Treatment Any petechial or purpuric rash is a warning sign that requires urgent attention and analytic evaluation to rule out meningococcal infection. Only when the petechiae are punctiform and above the intermamillary line and the child is afebrile can laboratory tests be dispensed with.

Erreferentzia bibliografikoak

  • García-Porrúa C, González-Gay MA. Bacterial infection presenting as cutaneous vasculitis in adults. Clin Exp Rheumatol. 1999;17:471-3.
  • Guerra A, Waseem M. Hand foot and mouth disease. StatPearls (internet). Treasure Island (FL): StatPearls Publishing; 2017.
  • Homme JL, Block JM. Acute hemorrhagic edema of infancy and common mimics. Am J Emerg Med. 2016;34:936.
  • Kazandjieva J, Antonov D, Kamarashev J, Tsankov N. Acrally distributed dermatoses: vascular dermatoses (purpura and vasculitis). Clin Dermatol. 2017;35:68-80.
  • Romano A, Gaeta F, Arribas Poves MF, Valluzzi RL. Cross reactivity among betalactams. Curr Allergy Asthma Rep. 2016;16:24.
  • Serra E, Moura García C, Sokolova A, Torre ML, Amaro C. Acute hemorrhagic edema of infancy. Eur Ann Allergy Clin Immunol. 2016;48:22-6.
  • Vafaie J, Schwartz RA. Parvovirus B19 infections. Int J Dermatol. 2004; 43:747-9.