Truncal lesions do not exclude a diagnosis of Gianotti-Crosti syndrome.
A boy aged 2 years and 10 months had a pruritic eruption and low-grade fever for 1 week. Examination revealed discrete erythematous papules and papulovesicles on his buttocks and extensor surfaces of four limbs. Several papules were also present on his back. No lymphadenopathy and no hepatosplenomegaly were noted. Investigations failed to identify a single viral aetiology. Topical calamine lotion and a sedating oral antihistamine to be taken at night were prescribed. The truncal lesions subsided in 3 weeks. Complete remission of all lesions was seen after 6 weeks. Although most patients with Gianotti-Crosti syndrome only have the typical acrally distributed eruption, additional truncal lesions, if few in number, do not exclude the diagnosis.
Chuh
Antonio A T
AA
Department of Medicine, University of Hong Kong, Hong Kong. achuh@iohk.com
D000169:Acrodermatitis / Q000175:diagnosis* / Q000473:pathology; D002081:Buttocks; D002675:Child, Preschool; D006801:Humans; D008297:Male; D035441:Thoracic Wall