Clark Ashley K, Dhossche Julie, Korcheva Veselina B, Keller Jesse J
Department of Dermatology, Oregon Health and Science University, Portland, Oregon.
Dermatol Online J. 2018 Nov 15;24(11):13030/qt5dd717sw.
Vasculitis can be a primary disorder or a cutaneous manifestation of a viral infection. The present case describes an atypical localized cutaneous varicella-zoster virus infection inducing a small vessel vasculitis in a patient with multisystem sarcoidosis. Additionally, we discuss the differential diagnoses and treatment options. Varicella-Zoster infection occurs more frequently in immunosuppressed populations and can present with uncharacteristic clinical manifestations complicating the diagnosis as in the present case.
血管炎可以是一种原发性疾病,也可以是病毒感染的皮肤表现。本病例描述了一例非典型的局限性皮肤水痘-带状疱疹病毒感染,该感染在一名患有多系统结节病的患者中诱发了小血管血管炎。此外,我们还讨论了鉴别诊断和治疗方案。水痘-带状疱疹感染在免疫抑制人群中更为常见,并且可能出现不典型的临床表现,就像本病例一样,使诊断变得复杂。