Eczema herpeticum - Revision history

Rossdonaldson1: /* See Also */

2025-01-29T21:53:49Z

Rossdonaldson1: /* Differential Diagnosis */

2025-01-29T21:53:05Z

Differential Diagnosis

← Revisión anterior		Revisión del 21:53 29 ene 2025
Línea 19:		Línea 19:

	==Differential Diagnosis==		==Differential Diagnosis==
	~~{{HSV-1 DDX}}~~
	*[[Impetigo]]		*[[Impetigo]]
	*Eczema Vaccinatum		*Eczema Vaccinatum
	*Primary [[varicella]] infection		*Primary [[varicella]] infection

			{{HSV-1 DDX}}

	==Evaluation<ref>Liaw F-Y, Huang C-F, Hsueh J-T, Chiang C-P. Eczema herpeticum: A medical emergency. Canadian Family Physician. 2012;58(12):1358-1361.</ref>==		==Evaluation<ref>Liaw F-Y, Huang C-F, Hsueh J-T, Chiang C-P. Eczema herpeticum: A medical emergency. Canadian Family Physician. 2012;58(12):1358-1361.</ref>==

Rossdonaldson1 at 22:13, 10 September 2020

2020-09-10T22:13:07Z

← Revisión anterior		Revisión del 22:13 10 sep 2020
Línea 33:		Línea 33:
	*Treatment to cover [[Staph]] and [[Strep]]		*Treatment to cover [[Staph]] and [[Strep]]
	*[[Bactrim]] 10mg/kg/d in 2 divided doses '''OR''' [[clindamycin]] 24mg/kg/d divided into 3 doses x10d		*[[Bactrim]] 10mg/kg/d in 2 divided doses '''OR''' [[clindamycin]] 24mg/kg/d divided into 3 doses x10d
	*[[Acyclovir]] 80mg/kg/d in 3 divided doses x10		*[[Acyclovir]] 80mg/kg/d in 3 divided doses x10<ref>Aronson PL, Yan AC, Mittal MK, Mohamad Z, Shah SS. Delayed Acyclovir and Outcomes of Children Hospitalized With Eczema Herpeticum. Pediatrics. 2011;128(6):1161-1167. doi:10.1542/peds.2011-0948.</ref>

	==Disposition==		==Disposition==
Línea 43:		Línea 43:
	==References==		==References==
	<references/>		<references/>
	*Aronson PL, Yan AC, Mittal MK, Mohamad Z, Shah SS. Delayed Acyclovir and Outcomes of Children Hospitalized With Eczema Herpeticum. Pediatrics. 2011;128(6):1161-1167. doi:10.1542/peds.2011-0948.
	*Hinz T, Zaccaro D, Byron M, et al. ATOPIC DERMO-RESPIRAT'''OR'''Y SYNDROME IS A C'''OR'''RELATE OF ECZEMA HERPETICUM. Allergy. 2011;66(7):925-933. doi:10.1111/j.1398-9995.2010.02538.x.

	[[Category:Dermatology]]		[[Category:Dermatology]]
	[[Category:ID]]		[[Category:ID]]

Rossdonaldson1: /* References */

2020-09-10T22:12:07Z

References

← Revisión anterior		Revisión del 22:12 10 sep 2020
Línea 44:		Línea 44:
	<references/>		<references/>
	*Aronson PL, Yan AC, Mittal MK, Mohamad Z, Shah SS. Delayed Acyclovir and Outcomes of Children Hospitalized With Eczema Herpeticum. Pediatrics. 2011;128(6):1161-1167. doi:10.1542/peds.2011-0948.		*Aronson PL, Yan AC, Mittal MK, Mohamad Z, Shah SS. Delayed Acyclovir and Outcomes of Children Hospitalized With Eczema Herpeticum. Pediatrics. 2011;128(6):1161-1167. doi:10.1542/peds.2011-0948.
	*Bagazgoitia L, Beà S, Garate M, Moreno R, Jaén P. ECZEMA HERPETICUM IN A PATIENT WITH TERMINAL RENAL FAILURE UNDER NARROW-BAND UVB THERAPY. Indian Journal of Dermatology. 2010;55(2):200-201. doi:10.4103/0019-5154.62744.
	*Hinz T, Zaccaro D, Byron M, et al. ATOPIC DERMO-RESPIRAT'''OR'''Y SYNDROME IS A C'''OR'''RELATE OF ECZEMA HERPETICUM. Allergy. 2011;66(7):925-933. doi:10.1111/j.1398-9995.2010.02538.x.		*Hinz T, Zaccaro D, Byron M, et al. ATOPIC DERMO-RESPIRAT'''OR'''Y SYNDROME IS A C'''OR'''RELATE OF ECZEMA HERPETICUM. Allergy. 2011;66(7):925-933. doi:10.1111/j.1398-9995.2010.02538.x.

	[[Category:Dermatology]]		[[Category:Dermatology]]
	[[Category:ID]]		[[Category:ID]]

Rossdonaldson1 at 22:02, 10 September 2020

2020-09-10T22:02:06Z

← Revisión anterior		Revisión del 22:02 10 sep 2020
Línea 4:		Línea 4:

	==Clinical Features==		==Clinical Features==
			[[File:Eczema Herpeticum picture.png\|thumb\|Eczema Herpeticum in immunocompromised patient.<ref>Bagazgoitia L, Beà S, Garate M, Moreno R, Jaén P. ECZEMA HERPETICUM IN A PATIENT WITH TERMINAL RENAL FAILURE UNDER NARROW-BAND UVB THERAPY. Indian Journal of Dermatology. 2010;55(2):200-201. doi:10.4103/0019-5154.62744.</ref>).]]
			[[File: Eczema_Herpticum_picutre_2.jpg\|thumb\|Eczema herpticum in child.<ref>Leung DYM. Why is eczema herpeticum unexpectedly rare? Antiviral research. 2013;98(2):153-157. doi:10.1016/j.antiviral.2013.02.010.</ref>]]
	*Development of vesicular eruptions containing HSV 1 or 2 in areas of epidermis previously affected by atopic dermatitis		*Development of vesicular eruptions containing HSV 1 or 2 in areas of epidermis previously affected by atopic dermatitis
	*Lesions may appear similar to impetigo<ref>Liaw F-Y, Huang C-F, Hsueh J-T, Chiang C-P. Eczema herpeticum: A medical emergency. Canadian Family Physician. 2012;58(12):1358-1361.</ref>		*Lesions may appear similar to impetigo<ref>Liaw F-Y, Huang C-F, Hsueh J-T, Chiang C-P. Eczema herpeticum: A medical emergency. Canadian Family Physician. 2012;58(12):1358-1361.</ref>
Línea 15:		Línea 17:
	**Eczema of the head/neck		**Eczema of the head/neck
	**Increased levels of IgE		**Increased levels of IgE


	~~<gallery>~~
	File:Eczema Herpeticum picture.png\|Eczema Herpeticum in immunocompromised patient. Source: See references below<ref>Bagazgoitia L, Beà S, Garate M, Moreno R, Jaén P. ECZEMA HERPETICUM IN A PATIENT WITH TERMINAL RENAL FAILURE UNDER NARROW-BAND UVB THERAPY. Indian Journal of Dermatology. 2010;55(2):200-201. doi:10.4103/0019-5154.62744.</ref>).
	File: Eczema_Herpticum_picutre_2.jpg\| Eczema herpticum in child. Source: see references below<ref>Leung DYM. Why is eczema herpeticum unexpectedly rare? Antiviral research. 2013;98(2):153-157. doi:10.1016/j.antiviral.2013.02.010.</ref>
	~~</gallery>~~

	==Differential Diagnosis==		==Differential Diagnosis==

ClaireLewis at 22:22, 27 September 2019

2019-09-27T22:22:08Z

← Revisión anterior		Revisión del 22:22 27 sep 2019
Línea 1:		Línea 1:
	==Background==		==Background==
			*Diffuse [[HSV]] infection occurring in 3% of patients patients with [[atopic dermatitis]]<ref>Leung DYM. Why is eczema herpeticum unexpectedly rare? Antiviral research. 2013;98(2):153-157. doi:10.1016/j.antiviral.2013.02.010.</ref>
	*May be life-threatening		*May be life-threatening

	==Clinical Features==		==Clinical Features==
	*Development of vesicular eruptions containing HSV 1 or 2 in areas of epidermis previously affected by atopic dermatitis		*Development of vesicular eruptions containing HSV 1 or 2 in areas of epidermis previously affected by atopic dermatitis
	*Lesions may appear similar to impetigo (5)		*Lesions may appear similar to impetigo<ref>Liaw F-Y, Huang C-F, Hsueh J-T, Chiang C-P. Eczema herpeticum: A medical emergency. Canadian Family Physician. 2012;58(12):1358-1361.</ref>
	*~~fever~~ is common		*[[Fever]] is common
	*Multiple organ systems can be involved, resulting in lymphadenopathy, keratoconjunctivitis ~~and resulting blindness~~, meningitis, encephalitis, etc (4).		*Multiple organ systems can become involved, resulting in [[lymphadenopathy]], [[keratoconjunctivitis]] (potentially sight-threatening),[[meningitis]], [[encephalitis]], etc <ref>Leung DYM. Why is eczema herpeticum unexpectedly rare? Antiviral research. 2013;98(2):153-157. doi:10.1016/j.antiviral.2013.02.010.</ref>.
	*Lesions may become secondarily infected by bacteria, mainly with staph aureus (4).		*Lesions may become secondarily infected by bacteria, mainly with staph aureus<ref>Leung DYM. Why is eczema herpeticum unexpectedly rare? Antiviral research. 2013;98(2):153-157. doi:10.1016/j.antiviral.2013.02.010.</ref>.
			*The following is associated with increased susceptibility to Eczema Herpeticum<ref>Bagazgoitia L, Beà S, Garate M, Moreno R, Jaén P. ECZEMA HERPETICUM IN A PATIENT WITH TERMINAL RENAL FAILURE UNDER NARROW-BAND UVB THERAPY. Indian Journal of Dermatology. 2010;55(2):200-201. doi:10.4103/0019-5154.62744.</ref>:

	*<~~3% of Eczema patients develop Eczema Herpeticum (4)~~.

	*The following is associated with increased susceptibility to Eczema Herpeticum (2):
	**Early age of onset of eczema		**Early age of onset of eczema
	**History of food allergies or asthma (4)		**History of food allergies or asthma<ref>Leung DYM. Why is eczema herpeticum unexpectedly rare? Antiviral research. 2013;98(2):153-157. doi:10.1016/j.antiviral.2013.02.010.</ref>
	**Larger surface area of eczema		**Larger surface area of eczema
	**Eczema of the head/neck		**Eczema of the head/neck
Línea 21:		Línea 18:

	<gallery>		<gallery>
	File:Eczema Herpeticum picture.png\|Eczema Herpeticum in immunocompromised patient. Source: See references below (2).		File:Eczema Herpeticum picture.png\|Eczema Herpeticum in immunocompromised patient. Source: See references below<ref>Bagazgoitia L, Beà S, Garate M, Moreno R, Jaén P. ECZEMA HERPETICUM IN A PATIENT WITH TERMINAL RENAL FAILURE UNDER NARROW-BAND UVB THERAPY. Indian Journal of Dermatology. 2010;55(2):200-201. doi:10.4103/0019-5154.62744.</ref>).
	File: Eczema_Herpticum_picutre_2.jpg\| Eczema herpticum in child. Source: see references below (4)		File: Eczema_Herpticum_picutre_2.jpg\| Eczema herpticum in child. Source: see references below<ref>Leung DYM. Why is eczema herpeticum unexpectedly rare? Antiviral research. 2013;98(2):153-157. doi:10.1016/j.antiviral.2013.02.010.</ref>
	</gallery>		</gallery>

	==Differential Diagnosis==		==Differential Diagnosis==
	{{HSV-1 DDX}}		{{HSV-1 DDX}}
	*Impetigo		*[[Impetigo]]
	*Eczema Vaccinatum ~~(5)~~		*Eczema Vaccinatum
	*Primary varicella infection ~~(5)~~		*Primary [[varicella]] infection

	==Evaluation==		==Evaluation<ref>Liaw F-Y, Huang C-F, Hsueh J-T, Chiang C-P. Eczema herpeticum: A medical emergency. Canadian Family Physician. 2012;58(12):1358-1361.</ref>==
	*Clinical		*Clinical
	*Viral culture from swabs of wounds ~~(5)~~		*Viral culture from swabs of wounds
	*Tzanck smears showing multi-nucleated giant cells ~~(5)~~		*Tzanck smears showing multi-nucleated giant cells
	*Direct Fluorescence antigen test for HSV ~~(5)~~		*Direct Fluorescence antigen test for HSV

	==Management==		==Management==
Línea 53:		Línea 50:
	*Bagazgoitia L, Beà S, Garate M, Moreno R, Jaén P. ECZEMA HERPETICUM IN A PATIENT WITH TERMINAL RENAL FAILURE UNDER NARROW-BAND UVB THERAPY. Indian Journal of Dermatology. 2010;55(2):200-201. doi:10.4103/0019-5154.62744.		*Bagazgoitia L, Beà S, Garate M, Moreno R, Jaén P. ECZEMA HERPETICUM IN A PATIENT WITH TERMINAL RENAL FAILURE UNDER NARROW-BAND UVB THERAPY. Indian Journal of Dermatology. 2010;55(2):200-201. doi:10.4103/0019-5154.62744.
	*Hinz T, Zaccaro D, Byron M, et al. ATOPIC DERMO-RESPIRAT'''OR'''Y SYNDROME IS A C'''OR'''RELATE OF ECZEMA HERPETICUM. Allergy. 2011;66(7):925-933. doi:10.1111/j.1398-9995.2010.02538.x.		*Hinz T, Zaccaro D, Byron M, et al. ATOPIC DERMO-RESPIRAT'''OR'''Y SYNDROME IS A C'''OR'''RELATE OF ECZEMA HERPETICUM. Allergy. 2011;66(7):925-933. doi:10.1111/j.1398-9995.2010.02538.x.
	*Leung DYM. Why is eczema herpeticum unexpectedly rare? Antiviral research. 2013;98(2):153-157. doi:10.1016/j.antiviral.2013.02.010.
	*Liaw F-Y, Huang C-F, Hsueh J-T, Chiang C-P. Eczema herpeticum: A medical emergency. Canadian Family Physician. 2012;58(12):1358-1361.

	[[Category:Dermatology]]		[[Category:Dermatology]]
	[[Category:ID]]		[[Category:ID]]

Mholtz: Text replacement - "OR" to "'''OR'''"

2017-05-31T00:47:03Z

Text replacement - "OR" to "'''OR'''"

← Revisión anterior		Revisión del 00:47 31 may 2017
Línea 39:		Línea 39:
	==Management==		==Management==
	*Treatment to cover [[Staph]] and [[Strep]]		*Treatment to cover [[Staph]] and [[Strep]]
	*[[Bactrim]] 10mg/kg/d in 2 divided doses OR [[clindamycin]] 24mg/kg/d divided into 3 doses x10d		*[[Bactrim]] 10mg/kg/d in 2 divided doses '''OR''' [[clindamycin]] 24mg/kg/d divided into 3 doses x10d
	*[[Acyclovir]] 80mg/kg/d in 3 divided doses x10		*[[Acyclovir]] 80mg/kg/d in 3 divided doses x10

Línea 52:		Línea 52:
	*Aronson PL, Yan AC, Mittal MK, Mohamad Z, Shah SS. Delayed Acyclovir and Outcomes of Children Hospitalized With Eczema Herpeticum. Pediatrics. 2011;128(6):1161-1167. doi:10.1542/peds.2011-0948.		*Aronson PL, Yan AC, Mittal MK, Mohamad Z, Shah SS. Delayed Acyclovir and Outcomes of Children Hospitalized With Eczema Herpeticum. Pediatrics. 2011;128(6):1161-1167. doi:10.1542/peds.2011-0948.
	*Bagazgoitia L, Beà S, Garate M, Moreno R, Jaén P. ECZEMA HERPETICUM IN A PATIENT WITH TERMINAL RENAL FAILURE UNDER NARROW-BAND UVB THERAPY. Indian Journal of Dermatology. 2010;55(2):200-201. doi:10.4103/0019-5154.62744.		*Bagazgoitia L, Beà S, Garate M, Moreno R, Jaén P. ECZEMA HERPETICUM IN A PATIENT WITH TERMINAL RENAL FAILURE UNDER NARROW-BAND UVB THERAPY. Indian Journal of Dermatology. 2010;55(2):200-201. doi:10.4103/0019-5154.62744.
	*Hinz T, Zaccaro D, Byron M, et al. ATOPIC DERMO-~~RESPIRATORY~~ SYNDROME IS A ~~CORRELATE~~ OF ECZEMA HERPETICUM. Allergy. 2011;66(7):925-933. doi:10.1111/j.1398-9995.2010.02538.x.		*Hinz T, Zaccaro D, Byron M, et al. ATOPIC DERMO-RESPIRAT'''OR'''Y SYNDROME IS A C'''OR'''RELATE OF ECZEMA HERPETICUM. Allergy. 2011;66(7):925-933. doi:10.1111/j.1398-9995.2010.02538.x.
	*Leung DYM. Why is eczema herpeticum unexpectedly rare? Antiviral research. 2013;98(2):153-157. doi:10.1016/j.antiviral.2013.02.010.		*Leung DYM. Why is eczema herpeticum unexpectedly rare? Antiviral research. 2013;98(2):153-157. doi:10.1016/j.antiviral.2013.02.010.
	*Liaw F-Y, Huang C-F, Hsueh J-T, Chiang C-P. Eczema herpeticum: A medical emergency. Canadian Family Physician. 2012;58(12):1358-1361.		*Liaw F-Y, Huang C-F, Hsueh J-T, Chiang C-P. Eczema herpeticum: A medical emergency. Canadian Family Physician. 2012;58(12):1358-1361.

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T02:56:15Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 02:56 22 jul 2016
Línea 31:		Línea 31:
	*Primary varicella infection (5)		*Primary varicella infection (5)

	==~~Diagnosis~~==		==Evaluation==
	*Clinical		*Clinical
	*Viral culture from swabs of wounds (5)		*Viral culture from swabs of wounds (5)

Neil.m.young: Text replacement - "* " to "*"

2016-07-07T19:20:33Z

Text replacement - "* " to "*"

← Revisión anterior		Revisión del 19:20 7 jul 2016
Línea 12:		Línea 12:
	*<3% of Eczema patients develop Eczema Herpeticum (4).		*<3% of Eczema patients develop Eczema Herpeticum (4).

	* The following is associated with increased susceptibility to Eczema Herpeticum (2):		*The following is associated with increased susceptibility to Eczema Herpeticum (2):
	**Early age of onset of eczema		**Early age of onset of eczema
	**History of food allergies or asthma (4)		**History of food allergies or asthma (4)
Línea 50:		Línea 50:
	==References==		==References==
	<references/>		<references/>
	* Aronson PL, Yan AC, Mittal MK, Mohamad Z, Shah SS. Delayed Acyclovir and Outcomes of Children Hospitalized With Eczema Herpeticum. Pediatrics. 2011;128(6):1161-1167. doi:10.1542/peds.2011-0948.		*Aronson PL, Yan AC, Mittal MK, Mohamad Z, Shah SS. Delayed Acyclovir and Outcomes of Children Hospitalized With Eczema Herpeticum. Pediatrics. 2011;128(6):1161-1167. doi:10.1542/peds.2011-0948.
	*Bagazgoitia L, Beà S, Garate M, Moreno R, Jaén P. ECZEMA HERPETICUM IN A PATIENT WITH TERMINAL RENAL FAILURE UNDER NARROW-BAND UVB THERAPY. Indian Journal of Dermatology. 2010;55(2):200-201. doi:10.4103/0019-5154.62744.		*Bagazgoitia L, Beà S, Garate M, Moreno R, Jaén P. ECZEMA HERPETICUM IN A PATIENT WITH TERMINAL RENAL FAILURE UNDER NARROW-BAND UVB THERAPY. Indian Journal of Dermatology. 2010;55(2):200-201. doi:10.4103/0019-5154.62744.
	*Hinz T, Zaccaro D, Byron M, et al. ATOPIC DERMO-RESPIRATORY SYNDROME IS A CORRELATE OF ECZEMA HERPETICUM. Allergy. 2011;66(7):925-933. doi:10.1111/j.1398-9995.2010.02538.x.		*Hinz T, Zaccaro D, Byron M, et al. ATOPIC DERMO-RESPIRATORY SYNDROME IS A CORRELATE OF ECZEMA HERPETICUM. Allergy. 2011;66(7):925-933. doi:10.1111/j.1398-9995.2010.02538.x.

Ostermayer: Text replacement - "Category:Derm" to "Category:Dermatology"

2016-03-22T13:13:59Z

Text replacement - "Category:Derm" to "Category:Dermatology"

← Revisión anterior		Revisión del 13:13 22 mar 2016
Línea 56:		Línea 56:
	*Liaw F-Y, Huang C-F, Hsueh J-T, Chiang C-P. Eczema herpeticum: A medical emergency. Canadian Family Physician. 2012;58(12):1358-1361.		*Liaw F-Y, Huang C-F, Hsueh J-T, Chiang C-P. Eczema herpeticum: A medical emergency. Canadian Family Physician. 2012;58(12):1358-1361.

	[[Category:~~Derm~~]]		[[Category:Dermatology]]
	[[Category:ID]]		[[Category:ID]]

← Revisión anterior		Revisión del 21:53 29 ene 2025
Línea 39:		Línea 39:

	==See Also==		==See Also==
			*[[HSV]]

	==External Links==		==External Links==