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Updated: Jul 8, 2026
10:27
Recognition of Epidermal Transglutaminase by IgA and Tissue Transglutaminase 2 Antibodies in a Rare Case of Rhesus Dermatitis
Published on: December 15, 2011
[Perianal streptococcal dermatitis]
A L Souillet1, F Truchot, D Jullien
1Clinique dermatologique et vénéréologique, hôpital Edouard-Herriot, place d'Arsonval, Lyon, France.
Summary
Pediatric perianal streptococcal dermatitis (PSD) is often missed by doctors. Early diagnosis and amoxicillin treatment are key to resolving this common streptococcal skin infection.
Area of Science:
- Pediatric Dermatology
- Infectious Diseases
Background:
- Pediatric perianal streptococcal dermatitis (PSD) is a distinct condition.
- Despite its clear presentation, PSD is frequently overlooked by healthcare providers.
Observation:
- A case study details a seven-year-old girl with a three-week history of perianal and vulvar redness, pain, and constipation.
- The patient also had a sore throat and perioral impetigo, initially treated unsuccessfully for a suspected fungal infection.
Findings:
- Group A beta-hemolytic streptococci were identified in perirectal and perioral swabs, confirming the PSD diagnosis.
- Amoxicillin treatment led to rapid clearance of perianal lesions within two days.
Implications:
- PSD can be misdiagnosed as candidiasis, psoriasis, seborrheic dermatitis, inflammatory bowel disease, or abuse.
- Underdiagnosis delays treatment, increasing the risk of serious secondary complications like acute nephritis and rheumatic fever.
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