Eczema herpeticatum

Last Updated: 2022-03-11

Author(s): Anzengruber F., Navarini A.

ICD11: 1F00.03

Kaposi 1887, Juliusberg 1898.

Eccema herpetiformis, Eccema herpetiforme Kaposi, Pustulosis acuta varioliformis Juliusberg, Pustulosis acuta varicelliformis.

Super-infection with HSV I in atopic eczema, lymphoma, Grover's disease, Darier's disease, Hailey-Hailey disease, pemphigus foliaceus, erythrodermic psoriasis, pityriasis rubra pilaris or therapy with steroid-containing topical agents and vemurafenib. Some patients go through multiple episodes of the disease.

  • Transmission
  • Frequently after herpes labialis (autoinoculation) or through contact with infected persons

In the area of the skin that has been damaged by the underlying disease, pain, a feeling of tension, erosions and rarely herpes blisters, reduced AZ, fever, headache, lymphadenopathy.

  • Clinical
  • Immunofluorescence (Microtrak)
  • Possibly viral PCR from a blister
  • If necessary, exclude meningismus
  • If necessary, ophthalmological consultation
  • If necessary, neurological consultation

Whole body, most commonly affecting the neck area.

  • Edema of the eyelid
  • Bronchopneumonia
  • Aseptic meningitis and encephalitis
  • Keratitis herpetica

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