Eczema Herpeticum

MBChB, Helen M. Goodyear; Frcp,; Frcpch,; MMed,

doi:10.1002/9781444345384.ch33

Cited by 3 publications

(2 citation statements)

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“…It can be clinically difficult to differentiate secondary impetigo affecting eczema from EH (box 2). EH usually presents as sudden deterioration of a child's eczema with small grouped circular vesicles that are usually of similar size and appearance ( box 3), hence the term ‘monomorphic blisters’1 (figure 2). This is the key difference from bacterial infection and helps to distinguish it from impetigo.…”

Section: History and Examinationmentioning

confidence: 99%

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Fifteen-minute consultation: eczema herpeticum in a child

Khan

Shaw

Bernatoniene

2014

Arch Dis Child Educ Pract Ed

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Eczema herpeticum (EH) occurs when there is secondary skin infection with herpes simplex virus in an atopic patient. The patient may not have unusually severe or active eczema. It is thought that the abnormal skin barrier function predisposes to infection, which can spread rapidly. Viraemia and secondary septicaemia can occur, and the condition can be life-threatening. The first episode of herpes infection is usually the worst and requires systemic treatment. Early recognition is vital. The presentation may be difficult to distinguish from secondary bacterial infection, which is common in eczema. A useful clinical clue is the presence of many very similar shaped and sized eroded lesions. Intact blisters may not be seen due to scratching. A rapid deterioration in eczema in a child who is systemically unwell should prompt consideration of EH.

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Section: History and Examinationmentioning

confidence: 99%

“…The aetiology for EH is multifactorial 1. Early onset of atopic dermatitis, more extensive skin involvement, eczematous lesions located on the head and neck, increased body temperature, lymphopoenia with normal white blood cell count and higher immunoglobulin E levels have also been associated with the development of EH 5.…”

Section: Introductionmentioning

confidence: 99%