Şeyma KAYALI, NİLDEN TUYGUN, HALİSE AKÇA, CAN DEMİR KARACAN

Atypical Papular Purpuric Eruption Induced by Parvovirus B19 Infection

Parvovirus B 19 enfeksiyonunun en sık dermatolojik bul- gusu beşinci hastalık olarak da bilinen eritema infeksiyo- zumdur. Son zamanlarda papulopurpurik eldiven çorap sendromu ve akropeteşial sendrom gibi parvovirus B 19 un neden olduğu nadir klinik durumlar da tarif edilmiştir. Bu çalışma, parvovirus B 19 enfeksiyonuna bağlı dökün- tüsü atipik özellik ve dağılım gösteren bir olguyu sun- maktadır. Lökopeni ile birlikte nedeni bilinmeyen peteşial / purpurik döküntüsü bulunan bir hastada pediatristlerin parvovirus B 19 enfeksiyonunu akla getirmesi gerektiğini vurgulamak istedik.

Parvovirus B 19 Enfeksiyonunun Tetiklediği Atipik Papulopurpurik Erüpsiyon

Parvovirus B19 infections most common dermatological manifestation is erythema infectiosum as also known the fifth disease. Rare clinical presentations of parvovirus B 19 like papulopurpuric gloves and socks syndrome and acropetechial syndrome has also been described re- cently. This study presents report of a case with atypical feature and distribution of rash due to parvovirus B19 in- fection. We want to emphasize that pediatricians should consider parvovirus B19 infection of any patient who has leukopenia presenting with petechial/purpuric eruption of an unclear origin.

PDF

___

1. Vander Straten M, Tyring SK. Mucocutaneous manifestations of viral diseases in children. Clin Dermatol 2002;20:67-73. 2.Bilenchi R, De Paola M, Poggiali S, et al. Papular-purpuric gloves and socks syndrome. G Ital Dermatol Venerol 2012;147:119-21. 3. Manzi A, Saldutti MT, Battista A, Tarro G. Papular purpuric gloves and socks syndrome. A case report. Minerva Pediatr 2004;56:227-2299. 4. Sklavounou Andrikopolou A, Lakavou M, Paikos S, et al. Oral manifestations of papular-purpuric gloves and socks syndrome due to parvovirus B 19 infection : the first case presented in Greece and review of literature. Oral Dis 2004;10:118-122. 5. Blaise G, Nikkels AF, Piérard GE. Cutaneous manifestations of parvovirus B19 infection. Rev Med Liege 2007;62:492- 495. 6. Foti C, Bonamonte D, Conserva A, et al. Erythema infectio- sum following generalized petechial eruption induced by human parvovirus B19. New Microbiol. 2006;29:45-48. 7. Hsieh MY, Huang PH. The juvenile variant of papularpur- puric gloves and socks syndrome and its association with viral infections. Br J Dermatol 2004;151:201-206.