Abstract
Introduction: the majority of parvovirus b19 infections are asymptomatic. In childhood, however, they may present as the fifth disease and in adults their manifestations can vary from mild, non-specific, cold-like symptoms to other forms of presentations. Papular-purpuric gloves and socks syndrome (PPGss) is an uncommon form of parvovirus b19 infection, characterized by symmetric, pruriginous and painful erythema and edema of feet and hands. Generally, systemic symptoms are usually mild and dissemination to other body regions occurs in only 50% of the cases. the rash gradually progresses to petechiae and purpura delineating well demarcated “socks” and “gloves” on both feet and hands. the diagnosis is predominantly based on the clinical features. serologic conversion is not considered as evidence of parvovirus b19 infection and histopathological findings from lesional skin are not specific. there are no definite antiviral
Highlights
The majority of parvovirus B19 infections are asymptomatic
Serologic conversion is not considered as evidence of parvovirus B19 infection and histopathological findings from lesional skin are not specific
Case Report: We report the case of a 30-year-old female with this characteristic erythema caused by the parvovirus B19
Summary
Parvovirus B19 is a small DNA virus of the Parvoviridae family that causes a worldwide infection [1]. The patient was on a good general state of health She presented symmetrical edema and confluent violaceous macules, papules and pustules on both sides of her hands and feet with well-defined borders delineating “gloves and socks” (Figure 3). A 30-year-old female presented to the emergency department complaining of edema and a violaceous, painful and very pruriginous exanthema on both hands and feet She described that the rash had begun three days before on both soles and progressively extended acquiring a socks pattern (Figure 1). The patient had a “pinpoint” enanthema dispersed throughout the palate and the jugal mucosa (Figure 5) She had no ulcers or petechiaes and no involvement of the pharynx or larynx. The result of the oropharyngeal enanthem swab came out two days later and confirmed the parvovirus B19 infection.
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