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This clinical picture is fairly classic for Roseola.  We have seen it
several times here.....fussy, highly febrile infant with a bulging
fontanelle...get the whole work-up which is normal...approximately 48 hours
later, the fever subsides and the rash of Roseola comes up.
 
Karla Hauersperger, M.D.
Children's Hospital
Columbus, Ohio
        -----Original Message-----
        From:   Francis P. Martin jr, M.D. [SMTP:[log in to unmask]]
        Sent:   Friday, July 09, 1999 9:16 AM
        To:     Multiple recipients of list PED-EM-L
        Subject:        Re: "BBAF" syndrome
 
        jay pershad wrote:
 
        > Had another one of these! Probably the fourth or fifth of my brief
career. A
        > febrile infant (8 month old) with a bulging fontanelle (noted by
the parent
        > & confirmed by examining the baby sitting up with the baby not
crying);
        > somewhat fussy but not "irritable". CSF was "stone cold" normal.
The patient
        > looked well post tap.
        >
        > I have chosen to call it the "Benign Bulging Anterior Fontanelle"
syndrome.
        > Have folks seen this? What is the mechanism?
        > Jay Pershad, MD
 
        I too would be interested in hearing others experience with this. I
have seen one  case which was
        followed by a very impressive viral exanthem of which I have some
photos somewhere to go with the
        case report I intended to write. Frank Martin M.D.
 
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