Syn.: Eczema herpeticum, varicelliform eruption of Kaposi.
Def .: Disseminated HSV infection mainly affects patients with atopic dermatitis, often children.
Epid .: Mainly in people with diseases that damage the epidermal barrier, e.g. atopic dermatitis, Darier’s disease, Hailey-Hailey disease. A similar course of HSV infection has also been reported in people with significant immunosuppression.
Etiol .: Accompanies primary or recurrent HSV infection.
Clinical: Infection usually begins with asymptomatic viral shedding on the oral mucosa or with labial herpes. The skin lesions then appear on the face and spread rapidly throughout the body. Some patients do not have typical vesicles, and the clinical picture is dominated by superficial ulcerations and fissures. Skin lesions are usually accompanied by general symptoms such as fever, malaise, and enlarged lymph nodes.
Treatment: Hospitalization and intravenous acyclovir therapy are usually required, plus local or systemic antibiotic therapy (risk of secondary bacterial superinfection)
DIG. W-22. Herpetic eczema.
DIG. W-23. Herpetic eczema.
DIG. W-24. Herpetic eczema.
DIG. W-25. Herpetic eczema.
DIG. W-26. Herpetic eczema.
Lit.: [1] Kramer SC, Thomas CJ, Tyler WB i wsp.: Kaposi’s varicelliform eruption: a case report and review of the literature. Cutis 2004, 73, 115–22
Source: A. Kaszuba, Z. Adamski: “Lexicon of dermatology”; XNUMXst edition, Czelej Publishing House