Kaposi's varicelliform eruption. Absence of ocular involvement

Kaposi's varicelliform eruption in association with rosacea

“…In addition, secondary complications, such as recurrent erosion or neurotrophic keratitis, can reappear even without return of the virus to the site of the lesion. 17 In our patient, there was no history or evidence of ocular rosacea and her ocular findings had a concordance with HSV infection. The patient improved rapidly with the addition of acyclovir therapy.…”

Disseminated mucocutaneous herpes simplex in an atopic individual

“…1 Disseminated mucocutaneous herpes simplex has also been reported widely in individuals with impaired immunity such as pregnancy (especially third trimester), corticosteroid therapy and other immunosuppressive drug use, haemapoietic disorders, bone marrow and solid organ transplants, neonates, 3 cancer patients and burn victims. 4 Acute ocular involvement beyond a blepharitis is uncommon 5 but herpetic keratitis has been reported. 6,7 Ocular manifestations reported in individuals with eczema herpeticum include a tendency for bilateral involvement, marked ocular discomfort, papillary conjunctivitis, and extensive corneal epithelial disease such as multiple dendritic ulcers and punctuate epitheliopathy.…”

Eczema Herpeticum

“…Systemic dissemination and viremia with multiple organ involvement can occur, especially in immunocompromised patients; reported mortality rates range from 10% to 50% (2,3). Although ocular herpetic infection in the setting of eczema herpeticum is rare, consultation with an ophthalmologist is indicated when eye involvement is suspected (4). Early use of antiviral agents is extremely important; their use should not be delayed pending laboratory tests (5,6).…”