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Updates on postinfectious skin rashes in pediatric dermatology
Samantha Shwe Daniel1, Caitlin Peterman, Smita Awasthi
1Department of Dermatology and Pediatrics, University of California, Davis, California, USA.
Current Opinion in Pediatrics
|July 3, 2024
Summary
Recent literature highlights pediatric postinfectious skin rashes, including COVID-19-related conditions like multisystem inflammatory syndrome in children (MIS-C) and Gianotti-Crosti syndrome-like reactions. Updates also cover staphylococcal scalded skin syndrome management and antifungal resistance.
Area of Science:
- Pediatric Dermatology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic has influenced the landscape of pediatric infectious skin rashes.
- Understanding emerging and evolving dermatological manifestations in children is crucial.
Purpose of the Study:
- To provide an updated review of postinfectious skin rashes in pediatric populations based on recent literature.
- To inform clinicians about new diagnoses and management strategies.
Main Methods:
- Literature review of recently published studies on pediatric infectious skin rashes.
- Synthesis of findings related to COVID-19 sequelae and other infectious dermatoses.
Main Results:
- COVID-19 is associated with multisystem inflammatory syndrome in children (MIS-C) and reactive infectious mucocutaneous eruption (RIME).
- Papular acrodermatitis of childhood (Gianotti-Crosti) has been linked to SARS-CoV-2 and other viral infections.
- Newer evidence supports beta-lactam monotherapy for staphylococcal scalded skin syndrome (SSSS) and highlights concerns regarding antifungal resistance (Trichophyton indotinae).
Conclusions:
- Clinicians must be aware of newly recognized diagnoses associated with the COVID-19 pandemic.
- Updated evidence-based recommendations for managing various postinfectious skin conditions are essential for pediatric care.
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