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

  1. Bommer, S. and G. Wolfram, [Observations on eczema herpeticatum and eczema vaccinatum]. Dtsch Gesundheitsw, 1954. 9(24): p. 747-50.
  2. Bohm, C. and H.O. Johne, [Case reports on eczema herpeticatum (herpetiforme) Kaposi]. Hautarzt, 1956. 7(5): p. 213-6.
  3. Kriegk, H.J., [Eczema herpeticatum in the adult]. Dermatol Wochenschr, 1952. 125(2): p. 25-9.
  4. Nasemann, T. and U. Schnyder, [Virological diagnosis of Kaposi's eczema herpeticatum (herpetiforme)]. Hautarzt, 1957. 8(12): p. 549-52.
  5. Teller, H., [Recurrent eczema herpeticatum]. Dermatol Wochenschr, 1955. 132(43): p. 1130-3.
  6. Hiemisch, I., [Cure of a widespread eczema herpeticatum in generalized neurodermatitis with Gamma-Venin]. Hautarzt, 1970. 21(11): p. 516.
  7. Peter, H., [Differential diagnosis & therapy of eczema herpeticatum]. Klin Med Osterr Z Wiss Prakt Med, 1958. 13(2): p. 60-70.
  8. Herzberg, J.J. and G. Pliess, [Eczema herpeticatum with fatal course]. Frankf Z Pathol, 1955. 66(4): p. 330-47.
  9. Braun-Falco, O. and P. Bilek, [Pyoderma gangrenosum, trichopytosis superficialis, eczema herpeticatum, lupus vulgaris, acne urticaria, hypertrichosis faciei due to glucocorticoids, malignant reticulosis, dyskeratosis follicularis]. Hautarzt, 1973. 24(8): p. 359-60.
  10. Maneke, M., [Eczema herpeticatum in children; pustulosis vacciniformis acuta; Kaposi's verricelliform eruption]. Monatsschr Kinderheilkd, 1954. 102(5): p. 258-62.
  11. Wetzel, S. and A. Wollenberg, [Eczema herpeticatum]. Hautarzt, 2004. 55(7): p. 646-52.
  12. Korting, G.W., H. Krautheim, and W. Wieland, [Eczema herpeticatum]. Med Welt, 1983. 34(21): p. 611-3.
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