Letter to the Editor A strange rash with “gloves and socks” distribution

Scaparrotta, Alessandra; Rossi, Nadia; Attanasi, Marina; Petrosino, Marianna Immacolata; Pillo, Sabrina Di; Chiarelli, Francesco

doi:10.5114/aoms.2015.53315

Cited by 8 publications

(15 citation statements)

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“…Low-risk type infections (e.g. HPV types 6 and 11) are responsible for benign or low-grade cervical cell changes, genital warts and laryngeal papillomas [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Nationwide Survey of Knowledge and Health Beliefs regarding Human Papillomavirus among HPV-Vaccinated Female Students in Malaysia

et al. 2016

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The National HPV Immunization Programme, which offers free human papillomavirus (HPV) vaccines to teenaged female students, was launched in Malaysia in 2010. HPV vaccination paired with adequate knowledge about HPV infection provides the best protection against cervical cancer. To identify the level of knowledge and the health beliefs towards HPV and the HPV vaccine among HPV-vaccinated female students in Malaysia. A nationwide cross-sectional survey among 14 years old female students who had received three doses of the HPV vaccine was conducted in 32 randomly selected schools from 13 states and 3 federal territories in Malaysia between February 2013 and April 2013. Among 2482 respondents, knowledge about HPV infection and the HPV vaccine was extremely poor. The mean total knowledge score was only 3.56 (SD ± 1.76), out of a possible score of 10. The majority of respondents were unaware that vaccinating boys with HPV can help protect girls against HPV infection (91.6%), HPV cannot be cured (81.6%) and that HPV is a sexually transmitted infection (70.3%). Most of the respondents had the misconception that only females get HPV (95.1%), and that the HPV vaccine eliminates the need for Pap smear tests (68.3%). Most respondents (91.6%) believed that they would not get an HPV infection. Almost half of the respondents (42.9%) held the misconception that HPV infection could not lead to serious illness. Findings revealed poor knowledge about both HPV and the HPV vaccine, low perceived susceptibility to HPV infection and misinformation about HPV infection among HPV-vaccinated girls. Therefore, it is essential to increase the knowledge and awareness of health risks regarding HPV infection among teenaged girls who have received the HPV vaccine.

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“…Low-risk type infections (e.g. HPV types 6 and 11) are responsible for benign or low-grade cervical cell changes, genital warts and laryngeal papillomas [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Nationwide Survey of Knowledge and Health Beliefs regarding Human Papillomavirus among HPV-Vaccinated Female Students in Malaysia

et al. 2016

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“…This morphology of our patient's rash was different although the distribution was similar. Papular‐purpuric gloves and socks syndrome is a rare manifestation of parvovirus B19 infection and presents with symmetrical gloves and stocking‐like erythematous dispersion with oral ulcers . Due to the absence of oral ulcers and lack of evidence of underlying parvovirus infection, this diagnosis was not considered.…”

Section: Discussionmentioning

confidence: 99%

Atypical acral swelling and viral exanthem with parechovirus meningitis

Chowdhury

Lee

2019

J Paediatrics Child Health

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We present a case of a febrile 3-month-old infant with atypical acral swelling and erythema for 2 days' duration. He was born full-term via normal vaginal delivery, with no maternal risk factors for sepsis. His parents sought medical attention in view of increasing lethargy and irritability. On physical examination, there was a blanching maculo-papular rash over the trunk and extremities with acral swelling (Figs 1-3). The infant was febrile (maximum temperature 39.8 C) with tachycardia that was out of proportion to fever spikes. His heart rate was in the range of 180-200 beats/min, which raised concerns for underlying sepsis. Intravenous ampicillin and gentamicin were administered immediately. His white cell count was 5.30 × 10 9 /L (5-15 × 10 9 /L; 48% neutrophils, 41% lymphocytes, 10% monocytes) and C-reactive protein level was unremarkable (6.3 mg/L). Blood, urine and cerebrospinal (CSF) cultures were negative. CSF did not reveal any pleocytosis (CSF WBC 0, CSF protein 0.26 g/L). In view of worsening acral erythema associated with swelling, there were concerns of evolving Kawasaki disease (KD).Blood tests were repeated on the third day of hospitalisation due to concerns of KD as child had persistent irritability and fever Fig. 1 Swelling over dorsum of the foot.Fig. 2 Swelling over dorsum of hand. Key Points1 Acral swelling is an uncommon presentation and should raise concerns for Kawasaki disease or parechovirus infection depending on the clinical context. 2 Parechovirus infection is self-limiting and thus prompt isolation of this virus can prevent unnecessary investigations. 3 Parechovirus infection can present with a range of symptoms from being asymptomatic to sepsis-like illness in an infant.

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“…PPGSS is seen most commonly in adolescents and young adults. It presents with pruritic or painful edema and erythema of hands and feet followed by the appearance of confluent petechial or purpuric lesions 1 , 3 , 4 . Occasionally, slightly raised papules may be seen 3 .…”

mentioning

confidence: 99%

“…Occasionally, slightly raised papules may be seen 3 . Mucosal lesions and lymphadenopathy are often observed 3 , 4 Its borders never extend beyond the ankles and wrists – Incorrect.…”

mentioning

confidence: 99%