11: Erythema Toxicum vs Herpes Flashcards
Erythema toxicum or herpes simplex?
May manifest similar to sepsis without cutaneous findings or as grouped vesicles presenting around days 9-11.
Herpes
Erythema toxicum or herpes simplex?
No specific maternal hx.
Erythema toxicum
Erythema toxicum or herpes simplex?
Usually seen only in term infant.
Erythema toxicum
Erythema toxicum or herpes simplex?
Benign and self-limited.
Erythema toxicum
Erythema toxicum or herpes simplex?
1-2 mm white papules or pustules on an erythematous base that occasionally may become somewhat vesicular.
Erythema toxicum
Erythema toxicum or herpes simplex?
DFA staining or ELISA of antigens or growth of organism from vesicle fluid.
Herpes
Erythema toxicum or herpes simplex?
Often begins late in the 1st week of life or early in the 2nd week.
Herpes
Erythema toxicum or herpes simplex?
Can occur in infants of any gestational age.
Herpes
Erythema toxicum or herpes simplex?
Acyclovir or other antivirals.
Herpes
Erythema toxicum or herpes simplex?
Pathologic, progressive.
Herpes
Erythema toxicum or herpes simplex?
Wright or Giemsa stain of lesion scraping demonstrates large numbers of eosinophils and no organisms. Cultures are sterile.
Erythema toxicum
Erythema toxicum or herpes simplex?
Frequently a hx of maternal disease.
Herpes
Erythema toxicum or herpes simplex?
No specific therapy needed.
Erythema toxicum
Erythema toxicum or herpes simplex?
Can be superficial and localized or widespread and disseminated.
Herpes
Erythema toxicum or herpes simplex?
Rash is evanescent, often involving the face, trunk, and extremities.
Erythema toxicum
