Sandpaper Dermatitis on a 17-Month-Old Girl—Quiz Case

Recurrent lupus profundus-like panniculitis associated with streptococcal throat infections in an immunocompetent child

“… 1 , 2 Interestingly, organisms were not detected on histology in these latter cases, whereas they were visible in the cases that rapidly responded to antibiotics. 1 , 2 , 3 , 4 , 5 No case showed lupus panniculitis-like features on pathology.…”

“…To our knowledge, only a few cases of panniculitis unrelated to erythema nodosum have been linked to S pyogenes , or group A Streptococcus , in immunocompetent children. 1 , 2 , 3 , 4 , 5 All patients had bacteremia, with upper respiratory infection being the most common source. In 2 cases, panniculitis persisted despite resolution of upper respiratory symptoms or antibiotic treatment, eventually self-resolving in 3 to 5 months.…”