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Annales de Dermatologie et de Vénéréologie
Volume 135, n° 6-7
pages 496-498 (juin-juillet 2008)
Doi : 10.1016/j.annder.2007.11.035
Received : 27 April 2007 ;  accepted : 9 November 2007
Érythème annulaire récidivant après angine streptococcique : érythème marginé rhumatismal de l’adulte
Relapsing annular erythema following streptococcal throat infection in an adult patient: Adult erythema marginatum associated with rheumatic fever
 

E. Alimova a, C. Le Roux-Villet a, S. Neuville b, L. Dubertret a, A. Petit a,
a Service de dermatologie 1, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France 
b Service de maladies infectieuses, hôpital Saint-Louis, Paris, France 

Auteur correspondant.
Résumé
Introduction

L’érythème marginé rhumatismal fait partie de critères majeurs de Jones pour le diagnostic du rhumatisme aigu poststreptococcique. Devenu peu fréquent dans les pays industrialisés, son diagnostic est rarement évoqué chez l’adulte.

Observation

Nous rapportons le cas d’une femme de 30 ans qui a eu deux épisodes d’une éruption annulaire du visage, associée à une fièvre et à des polyarthralgies. Cette éruption est survenue chaque fois quelques jours après une angine streptococcique.

Discussion

Cette observation souligne que le rhumatisme poststreptococcique n’a pas complètement disparu des pays développés. Les dermatologues ne doivent pas en méconnaître les manifestations cutanées et doivent rester vigilants quant à ses possibles complications cardiaques.

The full text of this article is available in PDF format.
Summary
Background

Erythema marginatum is one of the main Jones diagnostic criteria for rheumatic fever. However, since it rarely occurs in industrialized countries, this diagnosis is seldom suspected, especially in adult patients.

Case report

We report a case of an annular facial eruption associated with fever and polyarthralgia seen twice in a 30-year-old woman following episodes of streptococcal throat infection.

Discussion

This case report underlines the fact that the rheumatic fever has not completely disappeared in the highly developed countries. Dermatologists should be careful not to overlook its clinical manifestations and should be vigilant about potential cardiac complications.

The full text of this article is available in PDF format.

Mots clés : Érythème marginé rhumatismal, Angine streptococcique

Keywords : Erythema marginatum associated with rheumatic fever, Streptococcal throat infection




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