Affordable Access

Publisher Website

Guttate psoriasis triggered by perianal streptococcal dermatitis in a four-year-old boy

Authors
Journal
Journal of the American Academy of Dermatology
0190-9622
Publisher
Elsevier
Volume
42
Issue
5
Identifiers
DOI: 10.1016/s0190-9622(00)90263-9
Disciplines
  • Medicine

Abstract

Abstract Perianal streptococcal dermatitis (PSD) is a superficial bacterial infection usually with group A beta-hemolytic streptococci. PSD is often misdiagnosed for long periods and patients are subjected to treatments for a variety of differential diagnoses without success. We report a 4-year-old boy with PSD who presented to our clinic with guttate psoriasis for 2 reasons: first, to make dermatologists aware of PSD 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. Once PSD has been diagnosed, systemic antibiotic therapy with penicillin, erythromycin, roxithromycin, or azithromycin (probably augmented by topical mupirocin ointment) should be the treatment of choice. Therapy should be monitored by posttreatment perianal and throat swabs as well as a urine analysis to monitor for poststreptococcal glomerulonephritis. (J Am Acad Dermatol 2000;42:885-7.)

There are no comments yet on this publication. Be the first to share your thoughts.