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Erythema dyschromicum perstans in a child following an enteroviral meningitis

Cláudia Raquel Ferrão de Melo1, Mário Correia de Sá2, Sónia Carvalho1

  • 1Pediatric Department, Centro Hospitalar do Médio Ave, Vila Nova de Famalicão, Portugal.

Anais Brasileiros De Dermatologia
|February 23, 2017
PubMed

Insights

A child initially diagnosed with bacterial meningitis was found to have enteroviral meningitis and erythema dyschromicum perstans. The skin condition, erythema dyschromicum perstans, resolved spontaneously over three years.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Dermatology

Background:

  • A 6-year-old boy presented with fever, meningeal signs, and a rash.
  • Initial diagnosis suggested probable bacterial meningitis, leading to antibiotic and anti-inflammatory treatment.

Observation:

  • Enteroviral meningitis was confirmed as the cause of the initial symptoms.
  • The patient developed an evolving erythematous macular exanthema.
  • The skin condition persisted despite the initial diagnosis and treatment.

Findings:

  • The evolving skin lesions were ultimately diagnosed as erythema dyschromicum perstans.
  • This rare dermatosis presented in conjunction with viral meningitis.
  • The condition exhibited spontaneous resolution over a three-year follow-up period.

Implications:

  • Highlights the importance of considering diverse diagnoses in pediatric presentations with fever and rash.
  • Suggests a potential, though unconfirmed, association between viral meningitis and erythema dyschromicum perstans.
  • Demonstrates the self-limiting nature of erythema dyschromicum perstans in pediatric cases.

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