[3] Eczema Herpeticum Flashcards

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1
Q

What is eczema herpeticum?

A

A rare but severe skin infection that occurs at sites of skin damage caused by the herpes simplex virus

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2
Q

What HSV types can causes eczema herpeticum?

A

HSV 1 or 2

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3
Q

How can eczema herpeticum sometimes occur?

A

As a cold sore

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4
Q

What can cause the skin damage leading up to eczema herpeticum?

A
  • Atopic dermatitis (eczema)
  • Burns
  • Long use of steroids
  • Cosmetic procedures
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5
Q

What cosmetic procedures can predispose to eczema herpeticum infection?

A
  • Lasers
  • Skin peelers
  • Dermabrasion
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6
Q

How does eczema herpeticum often start?

A

As a group of small blisters in areas of skin damage and then spreading to healthy areas of skin

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7
Q

Describe the blisters seen in eczema herpeticum?

A

Painful, pus or fluid filled and can bleed, ooze or weep then crust over

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8
Q

What systemic symptoms can be caused by eczema herpeticum?

A
  • Pyrexia
  • Rigors
  • Lymphadenopathy
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9
Q

How is eczema herpeticum often diagnosed?

A

Clinically

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10
Q

What can be used to confirm eczema herpeticum infection?

A

Swabs of the blisters

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11
Q

What are the differentials for eczema herpeticum?

A
  • Chickenpox
  • Impetigo
  • Eczema flare up
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12
Q

What should be given to treat eczema herpeticum?

A

Anti-viral e.g. aciclovir

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13
Q

How can aciclovir be administered in eczema herpeticum?

A

Orally or IV if not possible

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14
Q

What may be needed in addition to antiviral in eczema herpeticum?

A

Antibiotic to cover secondary bacterial infection

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15
Q

What doe severe cases of eczema herpeticum require?

A

Hospital admission

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16
Q

What are the potential complications of eczema herpeticum?

A
  • Scarring
  • Herpetic keratitis
  • Organ failure and death (in rare cases)
17
Q

What can happen if herpetic keratitis is left untreated?

A

Lead to blindness