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Picture of the Month

Elizabeth Secord, MD; Umit Emre, MD; Binita R. Shah, MD; Walter W. Tunnessen Jr, MD
Am J Dis Child. 1992;146(5):637-638. doi:10.1001/archpedi.1992.02160170117028.
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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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