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Acute vesicular eruption with atopic dermatitis

Abstract:

Herpetic eczema or Kaposi's varicelliform eruption is a clinical variant of herpes simplex virus (HSV) in patients with a previous skin condition. Although it is uncommon, it is considered a dermatology emergency. The most frequent underlying condition is atopic dermatitis. It is characterized by the appearance of widespread pustules and vesicles association to bad general condition. Bacterial superinfection is a common complication in severe eczema herpeticum. Early systemic antiviral treatment is recommended to control viral replication and prevent scaring injuries. Acyclovir is generally used for 8 days. Local cares (cataplasms, topical antibiotics) and in the case of significant superinfection, systemic antibiotics, are recommended. Good control of the atopic dermatitis is important to prevent eczema herpeticum and its recurrence.