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May 1992

Picture of the Month

Author Affiliations

Contributed from The Children's Medical Center of Brooklyn (NY).

Am J Dis Child. 1992;146(5):637-638. doi:10.1001/archpedi.1992.02160170117028

Denouement and Discussion 

Erythema Marginatum in Acute Rheumatic Fever 

Historical Background  The polycyclic ringed lesions that eventually were called erythema marginatum (EM) were identified as being associated with acute rheumatic fever (ARF) by Bright in 1831.1 Cheadle used the term erythema marginatum to identify the lesions associated with ARF in 1889, and Lehndorf and Leiner later called the same lesions "erythema annulare" in 1922.2 The two names were used interchangeably until 1938, when Keil studied 523 cases of rheumatic fever at Mt Sinai Hospital, New York, NY, and described variants of a rash with a marginated border. The macular rash was labeled erythema

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