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Erythema marginatum

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Erythema marginatum
Classification and external resources
ICD-10 L53.2
ICD-9 695.8
DiseasesDB 4443

Erythema marginatum is described as the presence of pink rings on the trunk and inner surfaces of the limbs which come and go for as long as several months.[1] It is found primarily on extensor surfaces.[2]

An association with bradykinin has been proposed in the case of hereditary angioedema.[3]

Contents

[edit] Presentation

The rings are barely raised and are non-pruritic. The face is generally spared.

[edit] Associated conditions

It occurs in less than 5% of patients with rheumatic fever, but is considered a major Jones criterion when it does occur. The four other major criteria include carditis, polyarthritis, Sydenham's Chorea, and subcutaneous nodules. In this case, it is often associated with Group A streptococcal infection.

It is an early feature of rheumatic fever and may be associated with mild carditis (inflammation of heart muscle).

[edit] Types

Some sources distinguish between the following:

  • "Erythema marginatum rheumaticum"
  • "Erythema marginatum perstans"

[edit] References

  1. ^ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. pp. 281. ISBN 1-4160-2999-0. 
  2. ^ "erythema marginatum" at Dorland's Medical Dictionary
  3. ^ Starr JC, Brasher GW, Rao A, Posey D (October 2004). "Erythema marginatum and hereditary angioedema". South. Med. J. 97 (10): 948–50. doi:10.1097/01.SMJ.0000140850.22535.FA. PMID 15558919. http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=0038-4348&volume=97&issue=10&spage=948. 

[edit] External links

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