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05:39
Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
A boy with a one-sided red rash
Matthias Möhrenschlager1, Johannes Ring, Roger Lauener
1Department of Dermatology and Allergology, Allergieklinik, Hochgebirgsklinik, Davos, Switzerland, matthias.moehrenschlager@hgk.ch
European Journal of Pediatrics
|August 31, 2010
Summary
A boy developed sudden unilateral skin lesions after a tonsillar infection. Extensive testing for infections and pathogens was negative, suggesting an unusual post-infectious dermatological response.
Area of Science:
- Pediatrics
- Dermatology
- Infectious Diseases
Background:
- Tonsillar infections can precede various dermatological conditions.
- Understanding post-infectious sequelae is crucial for pediatric care.
Observation:
- A pediatric patient presented with acute onset unilateral erythematous macules with scaling.
- Lesions affected the trunk, axillary, and inguinal regions.
- Symptoms appeared two weeks post-tonsillar infection with fever.
Findings:
- Comprehensive laboratory investigations, including C-reactive protein (CRP) and complete blood count, were normal.
- Serological tests for common viral pathogens (e.g., coxsackievirus, cytomegalovirus, parvovirus, herpesviruses) were negative.
- Cultures of lesional swabs ruled out bacterial, fungal, and yeast infections.
Implications:
- This case highlights a rare, unexplained unilateral dermatosis following a common infection.
- Further research is needed to elucidate the pathogenesis of such post-infectious skin manifestations.
- Diagnostic protocols for pediatric skin lesions should consider unusual post-infectious patterns.
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