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Diffuse Papular Eruption With Swelling of Joints in a Preschooler

Diffuse Papular Eruption With Swelling of Joints in a Preschooler Abstract REPORT OF A CASE A 4-year-old black boy presented with polyarthritis and dermatitis. The mother had noticed swelling of the patient's joints over the preceding 2 to 3 years, although the child never complained of joint pain. At age 9 months, a chronic, fine papular rash, which persisted, developed (Fig 1).On physical examination, the child was small for his age, with a diffuse papular rash and swollen, nontender joints with a boggy synovium involving the wrists, elbows, ankles, and knees bilaterally (Fig 2).Several shotty cervical lymph nodes, the edge of the liver at the right costal margin, and the tip of the spleen could be palpated. Pulmonary and cardiac examinations showed normal findings.Ophthalmologic examination revealed uveitis and cataract formation bilaterally. More significant involvement of the right eye was present.Hematologic and chemistry profiles showed normal findings. The erythrocyte sedimentation rate was 52 mm/h. Antinuclear antibody and References 1. Rasmussen JE. Sarcoidosis in young children . J Am Acad Dermatol. 1981;5:566-570.Crossref 2. Hoover DL, Kahn JA, Giangracomo J. Pediatric ocular sarcoidosis . Surg Ophthalmol. 1986;30:215-228.Crossref 3. North AF, Fink CW, Gibson WM, et al. Sarcoid arthritis in children . Am J Med. 1970;48:449-455.Crossref 4. James DG. Sarcoidosis of the skin . In: Fitzpatrick TB, Eisen AZ, Wolff K, Freedberg IM, Austen KF. Dermatology in General Medicine. 3rd ed. New York, NY: McGraw Hill International Book Co; 1987;2:1889. 5. Brewerton DA, Cockburn C, James DC, et al. HLA antigens in sarcoidosis . Clin Exp Immunol. 1977;27:227-229. 6. Lieberman J. Elevation of angiotension converting enzyme (ACE) level in sarcoidosis . Am J Med. 1975;59:365-372.Crossref 7. De Remee RA, Rohrback MS. Serum angiotension converting enzyme activity in evaluating the clinical course of sarcoidosis . Ann Intern Med. 1980;92:361-365.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Diffuse Papular Eruption With Swelling of Joints in a Preschooler

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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1991.01680060129021
Publisher site
See Article on Publisher Site

Abstract

Abstract REPORT OF A CASE A 4-year-old black boy presented with polyarthritis and dermatitis. The mother had noticed swelling of the patient's joints over the preceding 2 to 3 years, although the child never complained of joint pain. At age 9 months, a chronic, fine papular rash, which persisted, developed (Fig 1).On physical examination, the child was small for his age, with a diffuse papular rash and swollen, nontender joints with a boggy synovium involving the wrists, elbows, ankles, and knees bilaterally (Fig 2).Several shotty cervical lymph nodes, the edge of the liver at the right costal margin, and the tip of the spleen could be palpated. Pulmonary and cardiac examinations showed normal findings.Ophthalmologic examination revealed uveitis and cataract formation bilaterally. More significant involvement of the right eye was present.Hematologic and chemistry profiles showed normal findings. The erythrocyte sedimentation rate was 52 mm/h. Antinuclear antibody and References 1. Rasmussen JE. Sarcoidosis in young children . J Am Acad Dermatol. 1981;5:566-570.Crossref 2. Hoover DL, Kahn JA, Giangracomo J. Pediatric ocular sarcoidosis . Surg Ophthalmol. 1986;30:215-228.Crossref 3. North AF, Fink CW, Gibson WM, et al. Sarcoid arthritis in children . Am J Med. 1970;48:449-455.Crossref 4. James DG. Sarcoidosis of the skin . In: Fitzpatrick TB, Eisen AZ, Wolff K, Freedberg IM, Austen KF. Dermatology in General Medicine. 3rd ed. New York, NY: McGraw Hill International Book Co; 1987;2:1889. 5. Brewerton DA, Cockburn C, James DC, et al. HLA antigens in sarcoidosis . Clin Exp Immunol. 1977;27:227-229. 6. Lieberman J. Elevation of angiotension converting enzyme (ACE) level in sarcoidosis . Am J Med. 1975;59:365-372.Crossref 7. De Remee RA, Rohrback MS. Serum angiotension converting enzyme activity in evaluating the clinical course of sarcoidosis . Ann Intern Med. 1980;92:361-365.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Jul 1, 1991

References