All issues > Volume 32(6); 1989

Original Article

J Korean Pediatr Soc. 1989;32(6):866-871. Published online June 30, 1989.

A Case of Febrile Ulceronecrotic Pityriasis Lichenoides et Varioliformis Acuta.

Jin Hyeon Park¹, Hae Sung Cho¹, Kyu Jin Oh¹, Hee Jung Kwon¹, In Sil Lee¹, Gyae Yong Song²

¹Department of Pediatrics, National POLICE Hospital, Seoul, Korea
²Department of Anatomical Pathology, Jung Ang University, Medical College, Seoul, Korea

Received: October 24, 1988;  Accepted: December 9, 1988.

Abstract

Febrile ulceronecrotic pityriasis lichenoides et varioliformis acuta is a severe form of pityriasis lichenoides et varioliformis acuta characterized by the sudden polymorphous eruptions composed of diffuse coalescent macule, papule, vesicle, hemorrhagic vesicle and reddish brown crust on the neck, trunk, axilla, both extremities, and systemic symptoms such as fever and malaise. We have experienced a case of febrile ulceronecrotic pityriasis lichenoides et varioliformis acuta which occurred 4 year and 7 month-old girl. She had polymorphous eruptions with m(ild itching sensation. Diagnosis of pityriasis lichenoides et varioliformis acuta was established by clinical features and histopathologic findings. We treated with erythromycin syrup, prednisolone and topical steroid with improvement. A brief review of the literature was made.

Keywords :Febrile Ulceronecrotic Pityriasis Lichenoides et Varioliformis Acuta, erythromycin