Erythema scarlatiniforme desquamativum recidivansL53.81

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Recurring scarlatiniform scaled erythema

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HistoryThis section has been translated automatically.

Féréol 1876, Besnier 1890

DefinitionThis section has been translated automatically.

Rare clinical picture with periodically or irregularly recurring, scarlatiniform erythema and subsequent desquamation.

EtiopathogenesisThis section has been translated automatically.

Triggering by infectious diseases (e.g. angina tonsillaris, pleuritis) and drugs (vitamin A, mercury-containing preparations, bismuth, tellurium, gold, quinine, hydantoins, salicylates, diuretics) is discussed.

In many cases, throat swabs could be used to detect superantigen-producing staphylococci (e.g. TSST-1 = toxic shock syndrome toxin 1) or group A streptococci (streptococcal pyrogenic exotoxin A or B).

LocalizationThis section has been translated automatically.

Mostly generalized, beginning at the trunk and extending to the entire integument, finally head, hands, feet. Very rarely localized forms (only hands and feet).

Clinical featuresThis section has been translated automatically.

Prodromal phase with nausea, rise in temperature, headache and aching limbs, gastrointestinal disorders.

Integument: Macular exanthema. Followed by desquamation, typically before the exanthema subsides (medium to coarse lamellar on the trunk, exfoliative scaling on hands and feet in the form of gloves or sandals). Also mucous membrane infestation with raspberry tongue, reversible diffuse hair loss and nail changes are possible.

Possible general symptoms such as enteritis, bronchitis, joint swelling, epistaxis, proteinuria, microhaematuria.

LaboratoryThis section has been translated automatically.

Leukocytosis with eosinophilia; short-term BSG increase.

Differential diagnosisThis section has been translated automatically.

Scarlet fever; drug-induced scarlatiniform erythroderma; acrodyny.

TherapyThis section has been translated automatically.

discontinuation of the drug, treatment of infections.

External therapyThis section has been translated automatically.

Symptomatic. Anti-inflammatory and keratolytic external preparations such as lotio alba (if necessary with 2% clioquinol R050 ), urea-containing creams/lotions (e.g. Basodexan®, Nubral®, R102 ), 5% dexpanthenol cream(e.g. Bepanthen®, R065 ), if necessary glucocorticoid-containing lotions such as 1% hydrocortisone emulsion(e.g. Hydrogalen® Lotion, R123 ). In case of mucosal infestation, rinsing with camomile extracts (e.g. Kamillosan®).

Progression/forecastThis section has been translated automatically.

Duration of the first episode 2-4 weeks. Recurrences after individually different and irregular intervals (weeks to years). These are increasingly easier and shorter.

Note(s)This section has been translated automatically.

A minus variant of the erythema scarlatiniforme desquamativum recidivans is a localized form(Erythema scarlatiniforme desquamativum recidivans localisatum), in which the exanthema is limited to hands and feet.

LiteratureThis section has been translated automatically.

  1. Kresbach H (1969) Erythema scarlatiforme recidivans (Féréol-Besnier) Dermatol Monthly Dressing 155: 365-366
  2. Landthaler M et al (1985) Erythema scarlatiniforme desquamativum recidivans localisatum. dermatologist 36: 581-585
  3. Lin MH et al (2003) Predictive value of clinical features in differentiating group A beta-hemolytic streptococcal pharyngitis in children. J Microbiol Immunol Infect 36: 21-25
  4. Thiers H et al (1969) Fixed scarlatiniform erythema with congestive rushes, symptomatic of a chronic lymphoreticular hemopathy. Bull Soc Fr Dermatol Syphiligr 76: 879-880

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer