Abstract

*Dr. Abdullah Mancy Oweid [FICMS(D&V)] and Khalid Mohammad Awad [FICMS(D&V)]

ABSTRACT

Introduction: Asymmetric periflexural exanthem of childhood is classified as a rare self-limited and spontaneously resolving exanthem with unknown etiology that occurs mainly in children. Objective: To study the prevalence and clinical features of asymmetric periflexural exanthem of childhood in Iraqi patients. Patients and Methods: patients presenting with features of asymmetric periflexural exanthem of childhood were studied during the period from 2012 to 2015 in the department of dermatology and venereology of Al-Ramadi Teaching Hospital, a detailed history was taken and careful physical examination of patients were carried out, regarding skin and other systems. Results: Seventy-five patients with asymmetric periflexural exanthem of childhood, 40 males and 35 females were studied, with male to female ratio 1.1/1, their ages ranged from 17 days to 5 years with an average of 1.8 years, most patients[54%] were diagnosed between May and July with a peak in May[34.6%]. The prodromal symptoms were noted in 56% of cases, mostly of upper respiratory tract infections, the eruption consisted of erythematous papules which coalesced into eczematous plaques begin unilaterally mainly around knee region in 60%, Pruritus was noted in 65% of patients, lymphadenopathy present in [40%] and were mainly inguinal lymph nodes on the side affected initially. Conclusion: Asymmetric periflexural exanthem of childhood is a common disease affecting children mainly with a self-limited course, the lower extremities were the main affected sites in our locality.