| • | AKA papular acrodermatitis of childhood |
| • | mnemonic = “PAC for gangsters with Hep B” |
| • | often caused by Hepatitis B |
| • | EBV and enterovirus = the most common cause in USA |
| • | labs: Hep B surface antigen, EBV antibodies, cx from rectal and nasopharyngeal swabs for coxsackievirus |
clinical:
| • | eruption is distinct; dense lentil-shaped, flesh colored to slightly erythematous papules |
| • | face and extremities, sparing the trunk |
| • | child otherwise asymptomatic |
| • | self-limited (2 to 6 weeks); no treatment |
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