Eczema Herpeticum in a 4-Year-Old Girl

Eczema Herpeticum in a 4-Year-Old Girl

Atopic dermatitis (AD) is a chronic skin disease affecting up to 20% of children in industrialized countries. Ten children with eczema herpeticum and 13 with atopic eczema and recurrent HSV infection affecting multiple skin sites were studied, together with relevant control groups. She denied history of sick contacts, sun exposure, or sexually transmitted diseases. One may also be concerned about impetiginization; however, there is no honey-colored crust, no purulent drainage, and no significant erythema around the affected area. Licentieverlening. We report here on an unusual case of eczema herpeticum that coexisted with Hailey-Hailey disease in a 47 years old man and we review the relevant literatures. These are most frequently seen on the face but may be localised elsewhere or spread widely.
Eczema Herpeticum in a 4-Year-Old Girl

It wasn’t until the Saturday morning 3 days later that I woke up with my eyes literally glued together. Een zuigeling met atopisch eczeem kan bijvoorbeeld besmet raken doordat er direct huidcontact is geweest met een andere persoon (soms de moeder zelf !)  die op dat moment een actieve koortslip heeft. Timing is critical because this condition can rapidly progress and may involve other organs and structures such as the eyes (herpes keratitis, which can lead to blindness), especially if lesions are located on the face. This diagnosis is a relative dermatologic emergency and presumptive treatment with antivirals should be at least considered in a case in which the clinical diagnosis is even suspected. Yellowish crusting lesions were noted on the perioral skin; a diffuse vesicular rash was observed on the oral and oropharyngeal mucosa, the trunk, and lower extremities. For infections in children, they often have had issues with eczema previously. 1.

One should not delay the treatment even if the report is pending considering the seriousness of the disease. The greater allergic disease and sensitization, as well as infection by other microbes,  point to a potential mechanism for the increased susceptibility to viral skin infections. Eczema herpeticum dangers are important to know. In some cases in which the lesions are limited and in non-critical areas, one may consider oral treatment with antiviral agents, such as valacyclovir, which is preferred over acyclovir because of its better bioavailability. Extended courses of therapy may be necessary, for 2 weeks or until all of the lesions have healed. It is also important to examine the patient for possible superinfection with bacteria such as Staphylococcus aureus. Antibiotic treatment may be necessary if there is any sign of bacterial superinfection, or prophylactic topical treatment may also be warranted, as it was in our case.

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