Asymmetric periflexural exanthem in an adult
Author(s)
Author(s)
Chan, P. K. S.
To, K. F.
Zawar, V.
Chuh, A. A. T.
Date Issued
2004
Publisher
Oxford University Press
Journal
Clinical and Experimental Dermatology
Volume
29
Issue
3
Start page
320
End page
321
Abstract
Asymmetric periflexural exanthem (APE) of childhood and unilateral laterothoracic exanthem are likely to be variations of the same disease. Most patients reported are children, although adults can also be affected. We report an adult Chinese patient with this eruption.
A 55‐year‐old male security guard had fever, sore throat and malaise. One week later, he developed a pruritic rash, at first strictly on the left side of the body, around the left axilla and left inguinal crease. One week later the right side was minimally involved. He had taken no medications in the weeks preceding the eruption. He had no history of atopic dermatitis or similar rashes at the same site.
He consulted us 1 week after the rash onset. Discrete erythematous papules were seen around the axillary and inguinal regions. Pale halos were seen around some of the larger lesions. The rash was still seen much more prominently on the left side than the right (Fig. 1). His face, genitalia, palms and soles were spared. Mucous membranes were uninvolved. His throat was inflamed, but the tonsils were not swollen and no exudate or palatal petechiae was seen. No cervical, axillary or inguinal lymphadenopathy and no hepatosplenomegaly were noted.
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