viral skin infections

Question 1

How does HSV type 1 present

Answer 1

perioral lesions - painful vesicles and ulcers

Question 2

How does HSV type 2 present?

Answer 2

penile lesions, vulvovaginitis and anal lesions

Question 3

Ix and management of HSV?

Answer 3

1. culture/PCR of viral swab

2. Aciclovir

Question 4

Name 2 dermatological complications of herpes?

Answer 4

1. eczema herpeticum

2. erythema multiforme

Question 5

How does eczema herpeticum present?

Answer 5

1. HSV 1 infection more common in patients with atopic eczema
2. Blisters covering large areas of the body
3. general systemic unwellness

Question 6

How does erythema multiforme present?

Answer 6

1. bllseye/target rash
2. maybe itchy
3. general unwellness

( mild self limiting skin reaction triggered by infection)

Question 7

Which virus is shingles caused by?

Answer 7

1. Herpes zoster virus - remains dormant in sensory root ganglion

Question 8

How does shingles present?

Answer 8

1. pain and parasthesia along dermatomal distribution
2. clusters of vesicles
3. trigeminal nerve involvement

Question 9

Ix and management of Shingles

Answer 9

1. clinical diagnosis / specific IgM antibodies

2. Acyclovir and analgesia