Guttate psoriasis triggered by perianal streptococcal dermatitis in a four-year-old boy☆,☆☆
Section snippets
CASE REPORT
A 4-year-old boy had a 6-week history of a mildly pruritic rash on his trunk and scalp. He had no other symptoms, including a sore throat or other infection, and appeared to be otherwise healthy. His family history was negative for either psoriasis or atopic dermatitis. On physical examination, he had plaques typical for guttate psoriasis on his trunk (Fig 1), upper extremities, and scalp. Examination of his throat was normal. When his
DISCUSSION
Perianal streptococcal dermatitis (PSD) associated with guttate psoriasis has to our knowledge been reported by 3 authors to date.2, 3, 4 We report this case for 2 reasons: first, to make dermatologists aware of this condition, and second, to emphasize the necessity to examine patients, particularly pediatric patients, with guttate psoriasis very thoroughly and swab both the pharynx and perianal and/or perigenital areas, even when they are, or seem to be, asymptomatic for bacterial infections.
References (15)
Guttate psoriasis associated with perianal streptococcal disease
J Pediatr
(1988)- et al.
Perianal cellulitis associated with group A streptococci
Am J Dis Child
(1966) - et al.
Perianal streptococcal dermatitis associated with guttate psoriasis and/or balanoposthitis: a study of five cases
Pediatr Dermatol
(1994) - et al.
Perianal cellulitis. Cutaneous group A streptococcal disease
Arch Dermatol
(1988) - et al.
An epidemiologic study of perianal dermatitis among children in Egypt
Pediatr Dermatol
(1997) - et al.
Staphylococcus aureus as a cause of perianal dermatitis
Pediatr Dermatol
(1993) - et al.
Perianal streptococcal cellulitis with penile involvement
Br J Dermatol
(1990)
Cited by (0)
- ☆
This supplement is made possible through an educational grant from Ortho Dermatological to the American Academy of Dermatology.
- ☆☆
Reprint requests: Rudolf A. Herbst, MD, Department of Dermatology and Allergology, Hannover Medical University, Ricklinger Strasse 5, D 30449 Hannover, Germany. E-mail: [email protected] .