A 7 Years Old Girl With Maculopapular and Erythematous Rash, Fever and Hypocomplementemia

Cutaneous eruptions and arthralgia in children can occur after infections, drugs and immunologic processes via different mechanisms. This is a report of a 7 years old girl with a history of maculopapular rashes that changed to target-shaped lesions and pruritus with non-pitting edema of ankles, strawberry tongue and periungual scaling of extremities, with no history of any drug usage. She had elevated liver enzymes and positive anti-viral capsid antigen (VCA) (IgM and IgG), and depressed C3, C4 and CH50, that returned to normal after 3 months. Here we explain the states that could cause similar clinical scenario and discuss them briefly.