Bela pediatrician Dr. Bauer, Ph.D., head physician of 50 years of experience in a number of disease symptoms and treatment of child describes the blog.bauerbela.ro maternity blog visitors. "Very helpful advice we read again. I recommend every parent's attention." KL
Exanthemáról a virus is one that has been reported in Italy 50 years ago. First descriptors (and Gianotti Crosti) was defined as a concomitant of hepatitis B, but later turned out to be more in some countries, Epstein-Barr virus infection-related, but the same disease can occur after other virózis well. Most often, therefore, hepatitis B and Epstein Barr virus causes, although other hepatitis viruses, citomegalo-, coxsackie, adeno-, entero-, rotational, parainfluenza viruses may also be induced. It has been reported cases occurring after vaccination as well.
After minimal adenocarcinoma prodromal symptoms (mild fever, lymphadenopathy, splenomegaly and liver may rarely cough, diarrhea), in good general condition monomorphic, micropapularis (1-10mm), skin-colored or reddish rash on the face and limbs that tension localizálodik surface (more or less), leaving the tribe - from acrodermatitis name. The scalp and mucous membranes can leave freely. Not or only slightly itchy. The papules adenocarcinoma often crowded (for glossy surfaces) vesicle recall, but it will not contain liquid inside. The rash after 15-60 days without scar heal spontaneously.
Gianotti-Crosti syndrome blood test is usually not necessary. Blood tests (HLG, smear, acute-phase proteins, RBC sedimentation rate) is not specific characteristic values virózisra show, the liver enzymes (transaminases) and alkaline phosphatase may be increased, but without hyperbilirubinemia. If jaundice is present in the direction of hepatitis tests should be performed.
Skin biopsy is not described specific lesions, perivascular mononuclear beszűremedés, thickening of capillary endothelium is shown. The papulákban electron microscopy virus was found, adenocarcinoma so it seems likely that autoimmune phenomena and it is not bőrfertőzésről. That is suggested by the fact that atopic dermatitis "ground" is more common. Presumably immunity for life leaves adenocarcinoma behind is typically affects children 1-6 years (3 months - 15 years, 90% of cases in four years), adults adenocarcinoma are extremely rare. The prevalence of the disease is unknown.
Differential diagnosis: often atopic dermatitis, keratosis pilaris, molluscum contagiosum, vírusexanthemák (non-specific), Henoch-Schonlein purpura, erythema multiforme, is less likely Kawasaki syndrome, histiocytosis X or lichen planus. One of the positive clinical Gianotti-Crosti syndrome criteria of the monomorphic, symmetrical rash lasts for at least 10 days.
Autolimitált the disease is, does not require treatment. Topical corticosteroid ointments effect disputed oral antihistamines may be up to when you need to calm the itching. adenocarcinoma The rash occurs when the patient is no longer contagious, adenocarcinoma so small children to kindergarten, the community may have.
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