Recurrent postcoital lower-extremity streptococcal erythroderma in women. Streptococcal-sex syndrome.
Two women with underlying distortion of their lower-body lymphatic systems from neoplasia and surgery or radiation therapy had recurrent episodes of lower-extremity erythroderma temporally associated with sexual intercourse. Both women had vaginal colonization with Streptococcus agalactiae (group B); one was shown to have recurrent bacteremia with this organism at the time of the episodes. Erythroderma developed in these women possibly because of seeding of S agalactiae in the vaginal soft tissues during coitus.
D000328:Adult; D003075:Coitus; D003873:Dermatitis, Exfoliative / Q000209:etiology*; D005260:Female; D006801:Humans; D007866:Leg; D008197:Lymph Node Excision / Q000009:adverse effects; D008206:Lymphatic Diseases / Q000150:complications; D010502:Perineum; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000503:physiopathology; D012008:Recurrence; D013290:Streptococcal Infections / Q000503:physiopathology*; D013292:Streptococcus agalactiae