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Dermatol Online J. 2008 Feb 28;14(2):18.

Kaposi varicelliform eruption (eczema herpeticum).

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  • 1Department of Medicine, University of Washington School of Medicine, Seattle, WA 98105, USA.


A 35-year-old woman with a history of atopic diathesis presented to the emergency department with 2 weeks of widespread facial vesiculopustules and eroded vesicles. HSV-1 was found on viral culture and direct fluorescent antibody testing. She was diagnosed with eczema herpeticum, an uncommon and potentially life-threatening viral infection that arises in areas of pre-existing dermatosis. Antiviral treatment for eczema herpeticum is very effective, and should be instituted without delay to avoid significant morbidity and mortality.

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