Papular acrodermatitis of childhood; Gianotti-Crosti syndrome; Acrodermatitis - infantile lichenoid; Acrodermatitis - papular infantile; Papulovesicular acro-located syndrome; Acrodermatitis enteropathica
The cause of acrodermatitis is poorly understood, but its link with other infections is well-documented.
In Italian children, acrodermatitis is seen frequently with hepatitis B, but this link is rarely seen in the United States. Epstein-Barr virus (EBV, mononucleosis) is the virus most often associated with acrodermatitis. Other associated viruses inclcude, cytomegalovirus, coxsackie viruses, parainfluenza virus, respiratory syncytial virus (RSV), and some live virus vaccines.
A rare, genetic form of acrodermatitis is acrodermatitis enteropathica. In this disorder, zinc is poorly absorbed from the diet. Adding zinc supplements to the diet improves the condition. This form of the disorder can be associated with other abnormalities and development delays.
Other symptoms that may appear include:
Your doctor can diagnosed this condition by simply looking at the skin and rash. The liver, spleen, and lymph nodes may be swollen.
The following tests may be done to confirm the diagnosis or rule out other conditions:
Acrodermatitis by itself is not treated. Infections associated with this condition, such as hepatitis B and Epstein-Barr, should be treated appropriately.
Acrodermatitis enteropathica improves when zinc levels are returned to normal.
Acrodermatitis usually disappears on its own without treatment or complication. However, the associated conditions must be watched carefully.
Complications occur as a result of associated conditions, rather than as a result of acrodermatitis.
Call your health care provider if your child has signs of this condition.
More JG. Nutritional Dermatoses. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th Ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 670.
Browning J, Levy M. Papules, Nodules, and Ulcers. In: Long SS, Pickering LK, Prober CG. Principles and Practice of Pediatric Infectious Diseases.3rd ed. Philadelphia, Pa: Churchill Livingstone Elsevier; 2008: chap 77.