Asymmetric Periflexural Exanthema of Childhood (APEC) is an uncommon rash affecting young children.
It is suspected to be due to a viral infection, mainly occurs in winter and spring and affects twice as many girls as boys.
The average age is two, most cases being between one and five years old.
The rash is often mistaken for eczema (dermatitis) or a fungal infection (ringworm).
It usually starts in the armpit or groin and gradually extends outwards, remaining predominantly on one side of the body.
It may spread to the face, genitalia, hands or feet.
The rash begins as a tiny-raised pink spots, which may be surrounded by a pale halo, then slowly becomes flat and scaly.
The middle of older patches fades to a dusky gray. Occasionally the patches are net-like or in rings.
Little blisters or blood spots may occur. The rash is usually quite itchy.
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