JOURNAL OF THE CZECH PEDIATRIC SOCIETY AND THE SLOVAK PEDIATRIC SOCIETY

Čes-slov Pediat 2026, 81(4):190-192 | DOI: 10.55095/CSPediatrie2026/035

Less common infectious exanthematous diseases I.

Štěpánka Čapková
Dermatologické oddělení pro děti, Fakultní nemocnice Motol a Homolka, Praha

The differential diagnosis of childhood exanthems is often highly challenging. In everyday clinical practice, pediatricians encounter not only the classic viral infectious exanthems, but also

allergic eruptions associated with drug and food intolerance, urticarial exanthems of both immunologic and non-immunologic origin, and parainfectious exanthematous eruptions accompanying a wide range of common viral infections. Certain types of exanthems are also characteristic of chronic dermatologic disorders (e.g., atopic dermatitis, psoriasis, lichen planus). In addition, exanthems may

represent a clinical manifestation of systemic diseases, including autoimmune disorders.

In this first part, we review an exanthema that is frequently misdiagnosed. Familiarity with this condition enables the pediatrician to better estimate disease duration, provide more targeted therapy, and reassure concerned parents.

Keywords: exanthematous diseases, APEC, asymmetrical periflexural exanthem of childhood

Accepted: June 2, 2026; Published: June 1, 2026  Show citation

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Čapková Š. Less common infectious exanthematous diseases I. Ces-slov Pediat. 2026;81(4):190-192. doi: 10.55095/CSPediatrie2026/035.
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