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丘疹r acrodermatitis of childhood

Author: Hon A/Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand, 1999. Updated, September 2015.


What ispapularacrodermatitis of childhood?

丘疹r acrodermatitis of childhood is a characteristic response of the skin toviralinfectionin which there is a papularrashthat lasts for several weeks.

Other names used for this skin condition include Gianotti-Crostisyndrome,papulovesicularacrodermatitis of childhood, infantile papular acrodermatitis, and acrodermatitis papulosa infantum.

丘疹r acrodermatitis of childhood of the face, elbows, and knee

Who gets papular acrodermatitis of childhood?

丘疹的肢皮炎的童年主要影响children between the ages of 6 months and 12 years. It has rarely been described in adults.

A clustering of cases is often observed, and a preceding upper respiratory infection is common.

What causes papular acrodermatitis of childhood?

The rash is a reaction to asystemicviral infection. The specific viruses causing papular acrodermatitis of childhood may include:

Although originally described in children with hepatitis B, vaccination against this virus in most populations means EBV is now the most common association.

Vaccination has also occasionally been associated with the onset of papular acrodermatitis of childhood.

What are the clinical features of papular acrodermatitis of childhood?

丘疹r acrodermatitis of childhood presents over the course of 3 or 4 days. A profuseeruptionof dull red spots develops first on the thighs and buttocks, then on the outer aspects of the arms, and finally on the face. The rash is usuallysymmetrical.

The individual spots are 5–10 mm in diameter and are a deep red colour. Later they often look purple, especially on the legs, due to leakage of blood from thecapillaries. They maydevelopfluid-filled blisters (vesicles).

丘疹r acrodermatitis of childhood is not usually itchy.

The child with papular acrodermatitis may feel quite well or have a mild temperature. Mildly enlargedlymphnodesin the armpits and groins maypersistfor months. When papular acrodermatitis is caused by hepatitis B, there may be an enlarged liver, but there is seldom anyjaundice.

丘疹r acrodermatitis of childhood of hands and buttock

See more images ofpapular acrodermatitis of childhood.

How is papular acrodermatitis of childhood diagnosed?

The clinical appearance of papular acrodermatitis is quite characteristic, and many children do not require any specific tests. However, blood tests may include:

  • Blood count
  • Liver function
  • ViralserologyorPCR.

What treatment is available for papular acrodermatitis of childhood?

There is no specific treatment for papular acrodermatitis of childhood. A mildtopicalsteroidcreamoremollientmay be prescribed for the itch.

What is the outlook for papular acrodermatitis of childhood?

丘疹r acrodermatitis fades in 2–8 weeks with mildscaling.Recurrenceof papular acrodermatitis is unlikely but has been reported.

If hepatitis B is present, the liver takes between 6 months and 4 years to fully recover. Sometimes there ispersistenthepatitis and persistent viral infection.


  • Brandt O, Abeck D, Gianotti R, Burgdorf W. Gianotti-Crosti syndrome.J Am Acad Dermatol. 2006;54(1):136–45. doi:10.1016/j.jaad.2005.09.033.PubMed Central
  • Leung AKC, Sergi CM, Lam JM, Leong KF. Gianotti-Crosti syndrome (papular acrodermatitis of childhood) in the era of a viral recrudescence and vaccine opposition. World J Pediatr. 2019;15(6):521-7. doi:10.1007/s12519-019-00269-9.PubMed
  • Swali RN, Lee EB, Adams JL. Gianotti-crosti syndrome in the setting of recent coronavirus disease-19 infection. Pediatr Dermatol. 2021;38(3):629–31. doi:10.1111/pde.14518.Journal

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