Eczema Herpeticum

Question 1

What is Eczema Herpeticum?

Answer 1

• Disseminated viral infection characterised by fever and clusters of itchy blisters or punched-out erosions
• Serious complications of Atopic Eczema

Question 2

What are the causes of Eczema Herpeticum?

Answer 2

• HSV type 1 and type 2

Question 3

What are the clinical features of Eczema Herpeticum?

Answer 3

• Extensive crusted papules, blisters and erosions
• The blisters are monomorphic and all appear similar to each other
• They are filled with clear yellow fluid or purulent material
• Often blood stained, older blisters crust over and form sores
• Lesions heal over 2-6 weeks
• Secondary bacterial infections with staphylococci or streptococci

Question 4

How is Eczema herpeticum diagnosed?

Answer 4

• Diagnosed clinically
• Viral Culture
• PCR
• Bacterial swabs for microscopy

Question 5

What is the treatment for Eczema Herpeticum?

Answer 5

• Antivirals (Aciclovir)
• Secondary bacterial skin infections with systemic antibiotics
• Topical steroids
• Consult an ophthalmologist with eyelid or eye involvement

Question 6

What are some of the complications of Eczema Herpeticum?

Answer 6

• Herpes Hepatitis, Encephalitis, DIC, Death