Steptoe Alex, Young-Zvandasara Tafadzwa, Muhtaseb Mohammed
Department of Ophthalmology, Cwm Taf University Health Board, Llantrisant, UK.
BMJ Case Rep. 2015 Jan 30;2015:bcr2014208438. doi: 10.1136/bcr-2014-208438.
Eczema herpeticum is a rare and potentially life-threatening viral infection. We present the case of a 54-year-old man who presented to the emergency eye clinic with a dendritic ulcer and a facial rash. An initial diagnosis of herpes zoster ophthalmicus was suspected. On follow-up, the rash had begun to rapidly disseminate and was no longer respecting dermatome boundaries. A diagnosis of eczema herpeticum was made and appropriate treatment started. This case highlights the importance of a comprehensive history and close inspection of skin lesions in patients with herpetic eye disease.
疱疹性湿疹是一种罕见且可能危及生命的病毒感染。我们报告一例54岁男性病例，该患者因树枝状溃疡和面部皮疹就诊于眼科急诊诊所。初步怀疑为眼部带状疱疹。在随访过程中，皮疹开始迅速扩散，不再局限于皮节边界。最终诊断为疱疹性湿疹并开始进行适当治疗。该病例强调了对于疱疹性眼病患者详细病史采集和仔细检查皮肤损害的重要性。
