2017, Number 2
<< Back Next >>
Dermatología Cosmética, Médica y Quirúrgica 2017; 15 (2)
Gianotti-Crosti Syndrome in Adult Patient Following Enterovirus Infection: Case Report
Novelo SAD, Chávez AJ, Comonfort PTV, Ferrer BJ, Barragán EZF
Language: Spanish
References: 10
Page: 99-102
PDF size: 171.87 Kb.
ABSTRACT
Gianotti-Crosti syndrome also known as papular acrodermatitis,
is a rare exanthematic disease associated to a viral infection,
usually on children around one to six years old, and rare
in adults. The classic presentation consists on monomorphic
red-brown papules and vesicles symmetrically distributed on
cheeks, extensor surface of the extremities, and buttocks, generally
asymptomatic or rarely it may itch and it can be associated
to lymphadenopathy and to acute anicteric hepatitis. It
is a self-limiting disorder, lesions usually resolve spontaneously
after three weeks. We report a case of a 36-year old healthy
female, with a five days history of a superior airway infection
and an itchy exanthem. Skin biopsy revealed findings consistent
with Gianotti-Crosti syndrome. Molecular studies of bronchial
secretion were positive for enterovirus. He presented complete
remission in 20 days. Gianotti-Crosti syndrome is a rare entity
in adults, but is a benign, self-limited disease, and one must be
aware it is a dermatosis related to a viral infection.
REFERENCES
Gianotti F, Report on a special case of toxic infection characterized by a desquamative erythemato-infiltrative eruption with lenticular foci and a selective localization at the extremities, Soc Ital Dermatol Sifilogr Sezioni Interprov Soc Ital Dermatol Sifilogr 1955; 96(6): 678-97.
Gianotti F, Papular acrodermatitis of childhood and other papulovesicular acrolocated síndromes, Br J Dermatol 1979; 100: 49-59.
Hergueta Lendínez R et al., Síndrome de Guianotti-Crosti debido a infección mixta producida por el virus de la parotiditis y el virus parainfluenza tipo 2, An Esp Pediatr 1996; 44(1): 65-6.
Lima D et al., Gianotti-Crosti syndrome; clinical, laboratorial features and serologic profiles of 10 cases from Belém State of Para, Brazil, An Bras Dermatol 2004; 79(6):699-707
Brandt O et al., Gianotti-Crosti syndrome, J Am Acad Dermatol 2006; 54(1): 136-45.
Gabrielsen TO, Rajka G y Rustenberg B, Acrodermatitis papulosa eruptiva infantum as a prodrome in hepatitis b infection, Z Hautkr, 1985, 60(22): 1793-6.
Patrizi A, Di Lernia V, Neri I y Ricci G, An unusual case of recurrent Gianotti-Crosti syndrome, Pediatr Dermatol 1994; 11(3): 283-4.
Hofmann B, Schuppe HC, Adams O et al., Gianotti-Crosti syndrome associated with Epstein-Barr virus infection, Pediatr Dermatol 1997; 14(4): 273-7.
Ricci G, Patrizi A, Neri I et al., Gianotti-Crosti syndrome and allergic background, Acta Derm Venereol 2003; 83(3): 202-5.
Draelos ZK, Hansen RC y James WD, Gianotti-Crosti syndrome associated with infections other than hepatitis B, jama 1986; 256(17): 2386-8.