A generalized, pruritic, papulo-vesicular eruption in an infant: An uncommon presentation of Gianotti Crosti Syndrome
DOI:
https://doi.org/10.66344/jpad.31.4.2021.1746Abstract
A 1- year- old boy was brought by his parents with a 2-week-history of skin colored to erythematous crusted, papulo- vesicles distributed symmetrically over face, extremities and prominent truncal involvement. Lesions were intensely pruritic, disrupting the child’s sleep; an episode of upper respiratory tract infection (URTI) preceded the eruption. A skin biopsy was done keeping the differential of Gianotti Crosti Syndrome (GCS), Histiocytosis and Pityriasis lichenoides et varioliformis acuta (PLEVA); epidermis showed acanthosis, hyperkeratosis and follicular plugging, with scant perivascular lymphocytic infiltrate in the dermis. Emollients, topical steroids and antihistamines led to marked improvement at 1-week follow-up; on clinico- pathological correlation, a diagnosis of an Atypical GCS was made. To the best of our knowledge, such an atypical presentation of GCS has not been previously reported.
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