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Image Number 391 (Eczema herpeticum)

 
Morphology:
Pustules

Diagnosis: Eczema herpeticum

Site: Eyelids

Sex: M

Age: 17

Type: Clinical

Description: Close up of the vesicles on the eyelids

Submitted by: Ian McColl

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Differential Diagnosis

History: Eczema herpeticum   (Sometimes called Kaposi's varicelliform eruption) is the spread of herpes simplex virus from the primary site into areas involved by atopic dermatitis.This widespread dissemination of the herpes virus may also be seen in burns,pemphigus,mycosis fungoides,ichthyosis vulgaris,Darier's disease and Sezary's syndrome.The condition is often characterised by marked skin tenderness and fever with small erosions where the vesicles have joined up and burst. In the case shown the primary infection was on the lips with spread elsewhere by rubbing and viral innoculation into areas of broken skin from eczema.

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