President's Welcome
Mission/Vision
Leadership
Special Service Awards
Press Releases
FAQ
Southern Medical Journal
CME Calendar
CME Online Library
Request a Brochure
Rate Your Practice
Practice Performance
Physician Relations
Financial Management
Physician Recruitment
Career Center
Physician Compensation
Practice Management Boot Camp
Online Resources
New Program Development
Physicians Group Purchasing
SMA Tours
Insurance
Resident and New Physicians Insurance Program
Financial Services
Retirement
MBNA
Paychex
Table of Contents
Featured CME Articles
Invitation to Reviewers
Reprint Information
Osteoporosis Bone Buzz
Practice Management
New Physicians Travel Benefit Program
Your Place In Today's Medicine Seminar
Physician Mentoring Program
Research & Endowment
Society of 1906
 
SMA: Southern Medical Association
HomeLoginJoin/RenewSite Map SMA ServicesSMA Alliance
 

 




Return to Topic Area:
Welcome Page
 
Search
 E-Mail to a colleague
Modern Medicine - A New Resource for Busy Physicians & Healthcare Professionals
Click Here to Learn More

CDC downplays "mystery rash" link
Source: Dermatology Times
By: Timothy N. Troy
Originally published: April 1, 2002

Atlanta -- The so-called mystery rash is getting more mysterious. In fact, the Centers for Disease Control and Prevention says the hubbub played up in local and national media might be unfounded.

U.S. dermatologists have moved quickly to pinpoint the perplexing pediatric cutaneous conditions that have presented in 14 states across the country since October. The CDC, however, said that recent incidence of rash among hundreds of school-aged children across America does not represent an outbreak.

According to Rhonda Smith, a spokesperson for the CDC, evidence is not at hand to isolate a common cause for the rashes. The only similarity among them at the moment is "that they are unexplained," she said.

"It's not like a single rash is spreading across the country," Smith added. "We're simply not able to say that it is a single rash because we have no evidence of it. It's not the case at all. Our primary goal is to collect data, and we're trying to determine similarities and a possible common cause.

"The cause has not yet been identified. But at the same time there are always unexplained rashes, and sometimes they are only coincidentally similar. So that's a very real possibility."

So for now, the "mystery rash" remains a mystery.

Norman L. Sykes, M.D., the Pennsylvania-based dermatologist who has spearheaded efforts to define similarities and isolate a common cause for the rash, said 17 states, including his own, have reported some type of rash outbreak -- all presenting primarily in elementary school students.

Rashes about the face, arms, and legs presented in school children, and environmental testing in schools proved negative. Children offered no systemic symptoms, and the rash usually disappeared in a speedy fashion. The reports have been consistent around the United States.

"I've never seen anything like it in my practice," Dr. Sykes said. "Very interesting is that hundreds of more children elsewhere present the same baffling condition." Reports have it that in different locales from 10 to 600 children at a time have reported such a mysterious rash.

Dr. Sykes had new information to share from testing and skin-biopsy results on his patients. Patients continue to present to him with a rash. Some school-aged children have seen him more than once, and include some who first saw him in late January.

Lacking evidenceDr. Sykes reported there is no evidence of parvovirus B-19 in 30 rash patients who have undergone extensive blood testing, meaning the outbreak is not the common pediatric condition, fifth disease.

Multiple-stage skin biopsies in 10 patients revealed no irritating causal event, ruling out contact dermatitis. Dr. Sykes also said there is no evidence of it being eczema.

Preliminary results point to the rash having a foundation consistent with a viral infection, Dr. Sykes concluded. He added the condition could be an enterovirus or coxsackie virus. However, systemic symptoms of enterovirus haven't presented in patients, who seem to get only a rash that disappears within a few days to a week.

"We're casting a broad net to find out what is causing this rash," Dr. Sykes said.

The condition has the look and feel of parvovirus, Dr. Sykes said. The most likely possible common cause still is that the rash is a symptom of a new strain of parvovirus B-19, he added.



 E-Mail to a colleague
A new resource for time-starved physicians and healthcare professionals
Modern Medicine - Click Here
Search
Return to Topic Area:
Welcome Page
 


Privacy Policy Disclaimer Copyright Editorial Policy Sponsorship Policy All Topics
   Powered by Mediwire
Copyright © 2005
Southern Medical Association
35 Lakeshore Drive
Birmingham, AL 35209
Tel: 800-423-4992
205-945-1840
Disclaimer | Privacy Policy
Website Advertising Policy