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Urticarial Eruption Associated with Rheumatic Fever in a Child
Author(s) -
Nousari Hossein C.,
KimyaiAsadi Arash,
Ketabchi Nooshin,
Cohen Bernard A.
Publication year - 1999
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1046/j.1525-1470.1999.00076.x
Subject(s) - medicine , asymptomatic , dermatology , erythema , rheumatic fever , erythema multiforme , pathology , immunology
The classic description of erythema marginatum is of a few asymptomatic erythematous patches or plaques with a characteristic central clearing which may coalesce and develop a polycyclic configuration. We report a boy with a urticarial eruption without the classic lesions of erythema marginatum in whom the diagnosis of rheumatic fever was subsequently made. Histology of the urticarial lesions revealed a mixed, superficial, perivascular infiltrate with prominent eosinophils. Rheumatic fever should be considered in children with fever and urticaria‐like eruptions even in the absence of the classically described erythema marginatum.