Čes-slov Pediat 2026, 81(4):190-192 | DOI: 10.55095/CSPediatrie2026/035
Less common infectious exanthematous diseases I.
- Dermatologické oddělení pro děti, Fakultní nemocnice Motol a Homolka, Praha
The differential diagnosis of childhood exanthems is often highly challenging. In everyday clinical practice, pediatricians encounter not only the classic viral infectious exanthems, but also
allergic eruptions associated with drug and food intolerance, urticarial exanthems of both immunologic and non-immunologic origin, and parainfectious exanthematous eruptions accompanying a wide range of common viral infections. Certain types of exanthems are also characteristic of chronic dermatologic disorders (e.g., atopic dermatitis, psoriasis, lichen planus). In addition, exanthems may
represent a clinical manifestation of systemic diseases, including autoimmune disorders.
In this first part, we review an exanthema that is frequently misdiagnosed. Familiarity with this condition enables the pediatrician to better estimate disease duration, provide more targeted therapy, and reassure concerned parents.
Keywords: exanthematous diseases, APEC, asymmetrical periflexural exanthem of childhood
Accepted: June 2, 2026; Published: June 1, 2026 Show citation
References
- Harper J, Oranje A, Prose N. Textbook of Pediatric Dermatology. Blackwell Science 2000.
- Paller AS, Mancini AJ. Hurwitz Clinical Pediatric Dermatology: A Textbook of Skin Disorders of Childhood and Adolescence. 6th ed. Elsevier 2022.
- Coustou D, Masquelier B, Lafon ME, et al. Asymmetric periflexural exanthem of childhood. Pediatr Dermatol 2000; 17(3): 169-173.
Go to original source... 
Go to PubMed... - Kelblerová A. Infekční exantémová onemocnění v dětském věku. Pediatr Pro Praxi 2009; 10(3): 176-179.
- Ganguly S, Kuruvila S. Eczema coxsackium. Indian J Dermatol 2016; 61(6): 682-683. Go to original source... Go to PubMed...
- Jacob JS, Tschen J. Hot tub-associated Pseudomonas folliculitis: a case report and review of host risk factors. Cureus 2020; 12(9): e10623. Go to original source... Go to PubMed...
- Zdobinská P. Svrab byl, je a bude. Dermatol Praxi 2023; 17(3): 131-136. Go to original source...
- Arsenault AB, Bliss JM. Neonatal candidiasis: new insights into an old problem at a unique host-pathogen interface. Curr Fungal Infect Rep 2015; 9(4): 246-252. Go to original source... Go to PubMed...
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