Erythema marginatum Contents Presentation Diagnosis Treatment References External links Navigation menuerythema marginatum"Erythema marginatum and hereditary angioedema"10.1097/01.SMJ.0000140850.22535.FA15558919Erythema Marginatum Pictorial CMEL53.2695.84443e

Urticarial allergic eruptionCold urticariaFamilialPrimary cold contact urticariaSecondary cold contact urticariaReflex cold urticariaHeat urticariaLocalized heat contact urticariaSolar urticariaDermatographic urticariaVibratory angioedemaPressure urticariaCholinergic urticariaAquagenic urticariaAcquired C1 esterase inhibitor deficiencyAdrenergic urticariaExercise urticariaGalvanic urticariaSchnitzler syndromeUrticaria-like follicular mucinosisEpisodic angioedema with eosinophiliaHereditary angioedemaErythema multiforme minorErythema multiforme majorStevens–Johnson syndromeToxic epidermal necrolysispanniculitisErythema nodosumAcute generalized exanthematous pustulosisErythema annulare centrifugumErythema marginatumErythema migransErythema gyratum repensNecrolytic migratory erythemaErythema toxicumErythrodermaPalmar erythemaGeneralized erythema


Bacterium-related cutaneous conditionsErythemasPediatrics


erythemaskinmucous membranestorsolimbsbradykininhereditary angioedemaitchyrheumatic feverJones criterionSydenham's ChoreaGroup A streptococcal infectionASO titerrheumatic feverpathognomonicmyocarditis






Erythema marginatum
Specialty
Dermatology Edit this on Wikidata

Erythema marginatum is a type of erythema (redness of the skin or mucous membranes) involving pink rings on the torso 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





  • 1 Presentation

    • 1.1 Associated conditions



  • 2 Diagnosis

    • 2.1 Types



  • 3 Treatment


  • 4 References


  • 5 External links




Presentation


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



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, otherwise known as Streptococcus pyogenes infection, which can be detected with an ASO titer.


It is an early feature of rheumatic fever and not pathognomonic of it.[4] It may be associated with mild myocarditis (inflammation of heart muscle). It is also seen in conditions like allergic drug reactions, sepsis and glomerulonephritis.[4]


It often occurs as a harbinger of attacks in hereditary angioedema. In this case it may occur several hours or up to a day before an attack.



Diagnosis



Types


Some sources distinguish between the following:


  • "Erythema marginatum rheumaticum"

  • "Erythema marginatum perstans"


Treatment



References




  1. ^ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. p. 281. ISBN 978-1-4160-2999-1..mw-parser-output cite.citationfont-style:inherit.mw-parser-output .citation qquotes:"""""""'""'".mw-parser-output .citation .cs1-lock-free abackground:url("//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png")no-repeat;background-position:right .1em center.mw-parser-output .citation .cs1-lock-limited a,.mw-parser-output .citation .cs1-lock-registration abackground:url("//upload.wikimedia.org/wikipedia/commons/thumb/d/d6/Lock-gray-alt-2.svg/9px-Lock-gray-alt-2.svg.png")no-repeat;background-position:right .1em center.mw-parser-output .citation .cs1-lock-subscription abackground:url("//upload.wikimedia.org/wikipedia/commons/thumb/a/aa/Lock-red-alt-2.svg/9px-Lock-red-alt-2.svg.png")no-repeat;background-position:right .1em center.mw-parser-output .cs1-subscription,.mw-parser-output .cs1-registrationcolor:#555.mw-parser-output .cs1-subscription span,.mw-parser-output .cs1-registration spanborder-bottom:1px dotted;cursor:help.mw-parser-output .cs1-ws-icon abackground:url("//upload.wikimedia.org/wikipedia/commons/thumb/4/4c/Wikisource-logo.svg/12px-Wikisource-logo.svg.png")no-repeat;background-position:right .1em center.mw-parser-output code.cs1-codecolor:inherit;background:inherit;border:inherit;padding:inherit.mw-parser-output .cs1-hidden-errordisplay:none;font-size:100%.mw-parser-output .cs1-visible-errorfont-size:100%.mw-parser-output .cs1-maintdisplay:none;color:#33aa33;margin-left:0.3em.mw-parser-output .cs1-subscription,.mw-parser-output .cs1-registration,.mw-parser-output .cs1-formatfont-size:95%.mw-parser-output .cs1-kern-left,.mw-parser-output .cs1-kern-wl-leftpadding-left:0.2em.mw-parser-output .cs1-kern-right,.mw-parser-output .cs1-kern-wl-rightpadding-right:0.2em


  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.


  4. ^ ab Erythema Marginatum Pictorial CME




External links




Classification
D


  • ICD-10: L53.2


  • ICD-9-CM: 695.8


  • DiseasesDB: 4443









Bacterium-related cutaneous conditions, Erythemas, PediatricsUncategorized
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