Boston exanthem

Synonym(s)

Echovirus 16 infection

Definition

Skin eruption caused by an infection with echovirus 16

Pathogenesis

Echovirus 16 infection acquired by the oral or respiratory route

Clinical manifestation

Prodrome of fever and anorexia after 3-8 day incubation period; exanthem begins on the face and chest and quickly generalizes; enanthem occasionally present; posterior auricular lymphadenopathy

Differential diagnosis

Roseola; other viral exanthems; meningo-coccal infection; medication reaction

Therapy

None; no specific isolation needed References

Cherry JD (1983) Viral exanthems. Current Problems in Pediatrics i3(6):i-44

Bowen disease 101

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