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ALL / Dermatology
Eczema herpeticum
Eczema herpeticum
Eczema herpeticum describes a severe primary infection of the skin by herpes simplex virus 1 or 2.It is more commonly seen in children with atopic eczema and often presents as a rapidly progressing painful rash.
This image shows a child with widespread monomorphic vesiculopustular and erosive lesions on the cheeks, perioral area, and chin, many with haemorrhagic crusting. The lesions are punched-out, confluent in areas, and set on a background of erythema, consistent with eczema herpeticum—a disseminated herpes simplex virus (HSV) infection typically superimposed on atopic dermatitis. The distribution around the mouth and lower face is characteristic.
Eczema herpeticum
On examination, monomorphic punched-out erosions (circular, depressed, ulcerated lesions) usually 1-3 mm in diameter are typically seen.
As it is potentially life-threatening children should be admitted for IV aciclovir.
+PassMedicine Notes
Eczema herpeticum describes a severe primary infection of the skin by herpes simplex virus 1 or 2.
It is more commonly seen in children with atopic eczema and often presents as a rapidly progressing painful rash.
On examination, monomorphic punched-out erosions (circular, depressed, ulcerated lesions) usually 1-3 mm in diameter are typically seen.
As it is potentially life-threatening children should be admitted for IV aciclovir.