Satasia Mansi, Iacobellis Francis W, Lahoti Lokesh
Internal Medicine, Saint Peter's University Hospital, New Brunswick, USA.
Dermatology, New York-Presbyterian Hospital, New York, USA.
Cureus. 2024 Apr 12;16(4):e58102. doi: 10.7759/cureus.58102. eCollection 2024 Apr.
Atopic dermatitis (AD) characterized by pruritus and eczematous lesions makes individuals susceptible to various viral and bacterial infections. Eczema herpeticum (EH), also known as Kaposi's varicelliform eruption, is a severe herpes simplex virus infection that can be observed in individuals with AD. EH manifests with monomorphic vesicles and "punched-out" erosions accompanied by hemorrhagic crusts, primarily affecting eczematous areas. Misdiagnosis, often as impetigo, can lead to severe complications and even death. Timely diagnosis and treatment with acyclovir are crucial to avert these outcomes. Here we present a case of a 19-year-old male with AD who presented with a monomorphic vesicular rash.
特应性皮炎（AD）以瘙痒和湿疹样皮损为特征，使个体易患各种病毒和细菌感染。疱疹样湿疹（EH），也称为卡波西水痘样疹，是一种严重的单纯疱疹病毒感染，可在AD患者中观察到。EH表现为单形性水疱和“凿除状”糜烂，并伴有出血性结痂，主要累及湿疹部位。误诊（常误诊为脓疱病）可导致严重并发症甚至死亡。及时诊断并用阿昔洛韦治疗对于避免这些后果至关重要。在此，我们报告一例19岁患有AD的男性患者，其出现了单形性水疱皮疹。
