PEDIATRICS Vol. 54 No. 3 September 1974, pp. 381
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Another Cause of Petechiae Suggested

Gary Gorlick M.D., M.P.H., F.A.A.P.1

1 6221 Wilshire Boulevard, Los Angeles, California 90048

The article entitled "Fever and Petechiae With Adenovirus Infection" by Sahler and Wilfert in the February 1974 issue of Pediatrics is most interesting, but contains one aspect which I should like to comment on. The inference is made that the petechiae seen on this child's body were the result of the adenovirus infection which is well established. I would suggest that the petechiae might have been caused by the Valsalva maneuver which so commonly follows either coughing or vomiting in children.