Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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APEC: esantema periflessurale asimmetrico

ASYMMETRIC PERIFLEXURAL EXANTHEM OF CHILDHOOD: A NEW ENTITY FOR THE PAEDIATRICIAN

MARIO CUTRONE

ULSS n.12 Terraferma Veneziana, Ospedale Umberto 1°, Divisione di Pediatria e Sezione di Patologia Neonatale, Mestre, Venezia

Settembre 1997 - pagg. 441 -443

Abstract
The paper describes a new entity, the Asymmetric Periflexural Exanthem of Childhood (APEC), first described in 1962 and recently recognized as a separate clinical entity by many Authors. It is characterized by scarlatiniform or papular rash which develops usually from a periflexural (axillary or inguinal) area to the thoracic area but with a clear monolateral preference. Respiratory or gastrointestinal symptoms may accompany the eruption. Occasionally moderate pruritus and regional lymphoadenopathy are present. The course is self-limited. This entity is believed to be caused by a virus but no single agent has been identified as a causal agent sofar. The Authors observed 4 cases of APEC over a period of four months in 18 to 24-month old children. It is probable that APEC can be diagnosed more often if increased attention is payed by paediatricians.
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