Journal Article

Papular-Purpuric Gloves and Socks Syndrome Associated with Acute Parvovirus B19 Infection: Case Report and Review

Paul T. Smith, Marie L. Landry, Hugh Carey, Jennifer Krasnoff and Elizabeth Cooney

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 27, issue 1, pages 164-168
Published in print July 1998 | ISSN: 1058-4838
Published online July 1998 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/514629
Papular-Purpuric Gloves and Socks Syndrome Associated with Acute Parvovirus B19 Infection: Case Report and Review

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The papular-purpuric gloves and socks syndrome (PPGSS) was first described in 1990. This syndrome is characterized by fever, acral pruritus, edema, petechiae, and oral erosions. Subsequently, parvovirus B19 has been implicated, in most cases, as the causative agent of this syndrome. To date, with two exceptions, all published cases of PPGSS have been from Europe and the Middle East and have been mainly reported in the dermatology literature. Herein, we report what we believe to be only the second case of documented parvovirus B19-associated PPGSS occurring in the United States. The patient presented with the typical clinical syndrome, and the diagnosis of acute parvovirus B19 infection was documented by serial serologies that demonstrated development of IgM antibody to virus during the acute phase of infection and seroconversion to IgG antibody in the convalescent period. We then review the existing literature on this unusual syndrome and its association with parvovirus B19.

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Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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