Rosh Pediatrics Practice Exam

What would be a notable characteristic of exanthematous drug eruption in children?

1. Scattered vesicles on extremities

2. Discrete, raised red papules

3. Symmetric distribution of maculopapular rash

4. Brief pruritus leading to hypo-pigmented patches

The correct answer is: Symmetric distribution of maculopapular rash

The characteristic of symmetric distribution of maculopapular rash is essential for identifying exanthematous drug eruptions in children. This type of eruption typically presents as a widespread, flat, or slightly raised rash that can cover large areas of the body. The symmetrical distribution often reflects the systemic nature of the drug reaction and is a common feature among various exanthematous eruptions. Exanthematous drug eruptions commonly begin on the trunk and can extend to the extremities, making their symmetrical nature a notable aspect of their presentation. Recognition of this pattern is crucial for proper diagnosis, as it can help distinguish these reactions from other types of rashes that may have an asymmetric distribution or be localized to certain areas of the body. Understanding these patterns aids healthcare professionals in forming accurate diagnoses and appropriate management plans for affected children.