Rosales Santillan Monica, Dietert Jessica B, Jahan-Tigh Richard
The University of Texas McGovern Medical School at Houston, Houston, Texas.
Dermatol Online J. 2018 Apr 15;24(4):13030/qt02x2h6sd.
Papular purpuric gloves and socks syndrome (PPGSS) is a self-limited exanthem that presents as painful or pruritic edema, erythema, petechiae, and purpura of the palms and soles with occasional extension to the dorsal hands and feet. The majority of PPGSS cases reported in the literature are associated with parvovirus B19 and occur in children and young adults. In a recent literature search, there were 11 PPGSS cases in adults with none reporting Epstein-Barr virus (EBV) as a viral etiology. However, there have been PPGSS cases related to EBV in children. We report the case of a 72-year-old man with PPGSS associated with Epstein-Barr virus. This case report serves as a reminder that PPGSS can present not only in the setting of pediatric and young adult parvovirus B19 infection, but also in immunocompetent adults with other viral infections.
丘疹紫癜性手套和袜子综合征（PPGSS）是一种自限性皮疹，表现为手掌和足底疼痛或瘙痒性水肿、红斑、瘀点和紫癜，偶尔可扩展至手背和足背。文献报道的大多数PPGSS病例与细小病毒B19有关，发生于儿童和年轻人。在最近的文献检索中，有11例成人PPGSS病例，无一例报告爱泼斯坦-巴尔病毒（EBV）作为病毒病因。然而，儿童中有与EBV相关的PPGSS病例。我们报告一例72岁男性PPGSS与爱泼斯坦-巴尔病毒相关的病例。本病例报告提醒我们，PPGSS不仅可出现在儿童和年轻成人感染细小病毒B19的情况下，也可出现在免疫功能正常的成人感染其他病毒的情况下。
