Monday, 8 September 2025

P ULE

 A

You’re asking about Unilateral Laterothoracic Exanthem of Childhood (ULTEC). Let’s break it down clearly and simply:


1. Definition

  • ULTEC is a mild, self-limiting skin rash seen mostly in children.

  • It is also called Asymmetrical Periflexural Exanthem of Childhood (APEC).

  • The rash typically starts on one side of the trunk (laterothoracic area) and may spread slightly but usually remains unilateral.


2. Cause

  • Exact cause unknown, but likely viral.

  • Commonly occurs in children 1–5 years old.


3. Clinical Features

  • Rash: Red, slightly raised, sometimes itchy.

  • Location: Usually one side of the torso, sometimes extending to the inner arms or thighs.

  • Other symptoms: Mild fever, fatigue, or mild upper respiratory symptoms may appear but often absent.

  • Course: Lasts 1–3 weeks, then resolves without scarring.


4. Diagnosis

  • Mainly clinical, based on appearance and distribution.

  • No specific lab test needed in most cases.

  • Important to differentiate from:

    • Chickenpox (varicella)

    • Contact dermatitis

    • Scarlet fever


5. Treatment

  • Supportive care: moisturizing lotions, antihistamines if itchy.

  • Usually self-limiting; no antibiotics required.


6. Key Points / Takeaway

  • Mild, unilateral rash in children.

  • Likely viral.

  • Resolves spontaneously.


If you want, I can make a super-simple “one-liner memory aid” for ULTEC, like we did with morphic resonance.

Do you want me to do that?

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