Baaniya Bibisha, Agrawal Sudha
Department of Dermatology and Venerology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Case Rep Dermatol Med. 2020 Dec 30;2020:6695342. doi: 10.1155/2020/6695342. eCollection 2020.
Haemorrhagic crusted lesions over pre-existing pemphigus vulgaris erosions should arouse suspicion of Kaposi varicelliform eruption (KVE). Immediate treatment with antivirals helps to prevent mortality and morbidities. Here, we report a case of a 67-year-old male who developed haemorrhagic crusted lesions on pre-existing pemphigus lesions during his hospital stay and obtained almost 90% resolution of cutaneous lesions of Pemphigus vulgaris as well as Kaposi varicelliform eruption within 2 weeks of acyclovir treatment along with the continuation of systemic steroids. We also highlight the review of the literature of other reported cases with its management.
在既往寻常型天疱疮糜烂基础上出现的出血性结痂性皮损应怀疑为水痘样疹（KVE）。立即使用抗病毒药物治疗有助于预防死亡和并发症。在此，我们报告一例67岁男性病例，该患者在住院期间，在既往天疱疮皮损上出现了出血性结痂性皮损，在接受阿昔洛韦治疗并继续使用全身性激素的2周内，寻常型天疱疮以及水痘样疹的皮肤损害几乎消退了90%。我们还着重回顾了其他已报道病例的文献及其治疗方法。
