Kaposi varicelliform eruption (eczema herpeticum).
A 35-year-old woman with a history of atopic diathesis presented to the emergency department with 2 weeks of widespread facial vesiculopustules and eroded vesicles. HSV-1 was found on viral culture and direct fluorescent antibody testing. She was diagnosed with eczema herpeticum, an uncommon and potentially life-threatening viral infection that arises in areas of pre-existing dermatosis. Antiviral treatment for eczema herpeticum is very effective, and should be instituted without delay to avoid significant morbidity and mortality.
Olson
Jonathan
J
Department of Medicine, University of Washington School of Medicine, Seattle, WA 98105, USA.
Robles
David T
DT
Kirby
Phil
P
Colven
Roy
R
D000212:Acyclovir / Q000031:analogs & derivatives / Q000627:therapeutic use; D000328:Adult; D000998:Antiviral Agents / Q000627:therapeutic use; D003061:Codeine / Q000627:therapeutic use; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis; D003876:Dermatitis, Atopic / Q000150:complications; D003951:Diagnostic Errors; D004198:Disease Susceptibility; D005148:Facial Dermatoses / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology / Q000821:virology; D005260:Female; D005436:Floxacillin / Q000627:therapeutic use; D018259:Herpesvirus 1, Human / Q000302:isolation & purification; D006801:Humans; D007617:Kaposi Varicelliform Eruption / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology / Q000821:virology; D009020:Morphine / Q000627:therapeutic use; D011241:Prednisone / Q000627:therapeutic use; D012130:Respiratory Hypersensitivity / Q000150:complications; D013207:Staphylococcal Skin Infections / Q000150:complications; D000077483:Valacyclovir; D014633:Valine / Q000031:analogs & derivatives / Q000627:therapeutic use
D000998:Antiviral Agents; D005436:Floxacillin; D009020:Morphine; D014633:Valine; D000077483:Valacyclovir; D003061:Codeine; D011241:Prednisone; D000212:Acyclovir