Reply to Adams Academic Article uri icon


  • Asymmetric periflexural exanthem of childhood (APEC) also known as unilateral laterothoracic exanthem, is a condition characterized by a rash that starts in early childhood. The lesions consist of discrete papules, 2–4 mm in diameter, that are usually erythematous. These eruptions can be scarlatiniform or eczematous, and form morbilliform patches exhibiting little demarcation. Although some cases have been reported in adults (1, 2), published case series of APEC report onset to be from 6 months to 5 years (3), 8 months to 10 years (4), 12 and 39 months (5), 12 to 63 months (6), 14 months to 4 years (7), and 2 to 15 years (8). We report a case of APEC in a 4-month-old female infant. At the time of presentation, this patient had a 5-day history of an eruption that started in the month of November on the right chest and eventually spread to the right shoulder and then the …

publication date

  • January 1, 2002