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Perianal streptococcal infection - Skin in Child
See also in: Anogenital
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Perianal streptococcal infection - Skin in Child

See also in: Anogenital
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Contributors: Sarah Stein MD, Karen Wiss MD, Sheila Galbraith MD, Craig N. Burkhart MD, Dean Morrell MD, Lynn Garfunkel MD, Nancy Esterly MD
Other Resources UpToDate PubMed

Synopsis

Perianal streptococcal cellulitis, or perianal streptococcal dermatitis (PSD), is a fairly common, often unrecognized variant of cutaneous streptococcal infection. It may present as chronic diaper dermatitis or, alternatively, as an acute symptomatic cellulitis. Affected children usually range in age from 6 months to 10 years, though cases have been reported in both adolescents and adults. Presenting symptoms include painful defecation, fecal hoarding behavior, or incontinence. Blood-streaked stool and anal fissures may also be noted. Balanitis may occur in male patients. Vulvovaginal involvement has been reported in females but is less commonly reported than balanitis in males. Post-streptococcal glomerulonephritis can occur as a result of untreated perianal streptococcal infection. Guttate psoriasis may be precipitated by PSD. Fever and acral scarlatiniform desquamation have also been reported.

Codes

ICD10CM:
A49.1 – Streptococcal infection, unspecified site

SNOMEDCT:
238412006 – Perianal streptococcal infection of newborn

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Last Updated: 02/12/2015
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Perianal streptococcal infection - Skin in Child
See also in: Anogenital
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Perianal streptococcal infection : Erythema, Perianal pain, Anal pruritus, Painful skin lesion
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