Differential Diagnosis *eczema associated . Malnutrition Dermatitis Clinical Features •Failure to thrive •Hair abnormalities (sparse, light, brittle) Eczema Herpeticum Incognito Confirming the Diagnosis Beck LA, et al. Phenotype of atopic dermatitis subjects with a history of eczema The differential diagnosis for eczema herpeticum includes impetigo, hand-foot-and-mouth disease, eczema coxsackium, primary varicella infection, disseminated herpes zoster, disseminated molluscum contagiosum, acute generalized exanthematous pustulosis, dermatitis herpetiformis, cellulitis, and erysipelas
Kaposi varicelliform eruption (KVE) is the name given to a distinct cutaneous eruption caused by herpes simplex virus (HSV) type 1, HSV-2, coxsackievirus A16, or vaccinia virus that infects a preexisting dermatosis. Most commonly, it is caused by a disseminated HSV infection in patients with atopic dermatitis (AD) and, for this reason, is oft.. . For patients with severe disease and immunocompromised patients, systemic antivirus medications and hospitalization are recommended The following is associated with increased susceptibility to Eczema Herpeticum: Early age of onset of eczema; History of food allergies or asthma; Larger surface area of eczema; Eczema of the head/neck; Increased levels of IgE; Differential Diagnosis Herpes Simplex Virus-1. Eczema herpeticum; Herpes gingivostomatitis; Herpes keratiti Eczema herpeticum can be diagnosed clinically when a patient with known atopic dermatitis presents with an acute eruption of painful, monomorphic clustered vesicles associated with fever and malaise. Viral infection can be confirmed by viral swabs taken by scraping the base of a fresh blister. Several laboratory tests are available
The differential diagnosis for a vesicopustular rash can be divided into non-infectious and infectious causes. Non-infectious causes include pustular psoriasis, drug hypersensitivity, vasculitis and bullous lupus erythematosus. Infectious causes include eczema herpeticum, herpes zoster, hand, foot and mouth disease, impetigo and cellulitis. A doctor can usually diagnose eczema herpeticum based on your visible and reported symptoms. If a person with known eczema presents with a sudden onset of painful, clustered blisters, fever, and a general feeling of sickness, it's usually a sign of the disease Eczema herpeticum is a secondary viral infection caused by HSV-1 or -2 that concomitantly occurs with skin conditions such as atopic dermatitis. It typically presents in childhood but can affect patients of any age. Less than 3% of patients with atopic dermatitis will develop eczema herpeticum Males and females are equally affecte Eczema herpeticum can clinically resemble smallpox. On the basis of the algorithm for rapid evaluation of patients with an acute generalized vesiculopustular rash illness, a patient met criteria for high risk for smallpox. The Tzanck preparation was critical for rapid diagnosis of herpetic infec-tion and exclusion of smallpox. The differential diagnosis includes impetigo, bullous impetigo, EV, arthropod bites, scabies, papular urticaria, varicella, bacterial superinfection, and disseminated herpes zoster. At times, EH is misdiagnosed as an exacerbation of the patient's underlying chronic eczematoid skin condition, with dire consequences
. Selected Differential Diagnosis of a Pruritic Rash in the Intertriginous Areas Disseminated herpes simplex virus (HSV) infection presents with painful crops of uniform vesicles or blisters on an erythematous base which become pustular and crust over. Lesions may be haemorrhagic, and the child may have a fever and be systemically unwell. See the CKS topic on Eczema - atopic for more information
. Who is at Risk for Developing this Disease? EH most often occurs in patients with Atopic Dermatitis (AD) Patients with more severe AD, history of food allergies, history of asthma tend to be more susceptible to. Epidemiology, clinical manifestations, and diagnosis of herpes simplex virus type 1 infection called eczema herpeticum (also known as Kaposi varicelliform eruption), particularly if they are taking immunosuppressive agents for control of their primary dermatologic condition. Eczema herpeticum is characterized
Upon presentation, the differential diagnosis included eczema coxsackium, eczema herpeticum, Giannotti Crosti syndrome, and bullous impetigo. An adverse drug reaction was considered, although it was deemed unlikely given the distribution of the rash and that antibiotics had been initiated after the onset of the rash An initial diagnosis of herpes zoster ophthalmicus was suspected. On follow-up, the rash had begun to rapidly disseminate and was no longer respecting dermatome boundaries. A diagnosis of eczema herpeticum was made and appropriate treatment started Atopic dermatitis, also know as atopic, eczema is a chronic, relapsing, inflammatory skin condition characterised by an itchy red rash that favours the skin creases such as the folds of the elbows or behind the knees .. Epidemiology . Atopic eczema is common and the prevalence is increasing Differential diagnoses are outlined in Table 4. Secondary infection Patients are at risk of both bacterial and viral secondary infection. Bacterial infection widespread, eczema herpeticum is a medical emergency and admission to hospital with prompt treatment with aciclovir (ora What is the differential diagnosis for eczema coxsackium?. The main differential diagnosis for eczema coxsackium is eczema herpeticum.. Eczema herpeticum due to herpes simplex tends to be itchier than eczema coxsackium and is less likely to have oral lesions.; Bullous impetigo can also cause itchy blisters and bullae on areas of eczema. Typically, there is honey-yellow crusting with.
Eczema herpeticum (widespread cutaneous herpes simplex virus infection) is a serious comorbidity occasionally seen in patients with AD. 16 Fungal infections also are commonly seen in patients with AD. Allergic contact dermatitis is a differential diagnosis to AD, but both conditions can coexist. These two conditions can be challenging for. . Eczema herpeticum is characterized by cutaneous pain and multiple clusters of monomorphic papules, vesicles, pustules and crusts in areas of preexisting atopic dermatitis (Figure 132-2).These lesions can spread rapidly leading to severe morbidity and mortality. 5 The eruption of eczema herpeticum may sometimes be.
Differential Diagnosis. The differential diagnosis for atopic dermatitis includes may eczematous dermatitides including: Contact dermatitis The blisters appear in clusters and can cover a large area of the body. Eczema herpeticum is a medical emergency with complications including keratoconjunctivitis, meningitis, encephalitis or secondary. The differential diagnosis included roseola, eczema herpeticum, eczema coxsackium, and varicella. The rash's presence during the onset of fever and its vesicular nature made roseola less likely. While the vesicular nature and grouping of lesions supported the diagnosis of eczema herpeticum, the lack of associated symptoms made this less likely Eczema herpeticum can clinically resemble smallpox. On the basis of the algorithm for rapid evaluation of patients with an acute generalized vesiculopustular rash illness, our patient met criteria for high risk for smallpox. The Tzanck preparation was critical for rapid diagnosis of herpetic infection and exclusion of smallpox
Eczema herpeticum may cause recurrent skin infections, possibly reflecting a local defect in T cell function. Selected Differential Diagnosis of a Monomorphic Rash on the Neck Differential Diagnosis. Difficulty in the clinical diagnosis of eczema herpeticum may arise in the early stages of illness, particularly when vesicles are absent . It may be difficult to distinguish eczema herpeticum from bacterial infection of eczema  or severely excoriated eczema Eczema herpeticum is a bad skin infection that occurs in people who already have eczema. The herpes virus (the same one that causes cold sores) invades the skin and causes painful red spots. The rash can spread very quickly over the body and needs to be treated quickly. Usually the virus is caught from somebody who has an infection such as a.
Differential Diagnosis. Distinguishing features Viral infections: Eczema herpeticum Disseminated viral infection (usually HSV1/HSV2) characterised by fever and clusters of itchy blisters or punched-out erosions. Severe eczema herpeticum may affect : multiple organs. Risk of bacterial secondary infection (staph aureus or Gp A strep) Editor,—We present a case of eczema herpeticum to highlight that herpes simplex can cause generalised infection in atopic individuals and should be considered in the differential diagnosis. A 19 year old man presented with 2 day history of extensive painful pustular eruptions of the hands, forearms, and chest. He also felt unwell and had fever Differential Diagnosis. There are numerous case reports of delayed diagnosis of eczema herpeticum because the patient was thought to have impetiginized eczema. The lesions of eczema herpeticum. Differential Diagnosis. Hand foot and mouth disease; Facial eczema herpeticum Aphthous ulcers ; Stevens-Johnson Syndrome ; Behcet syndrome ; Management. Diagnosis is clinical and, in most cases, does not require laboratory confirmation. Investigations. Where confirmation is required (immunocompromised host or contact), swab lesion (flocked swab. Eczema (E) (also called atopic dermatitis (AD)) is an inflammatory, chronically relapsing, non-contagious and extremely pruritic skin disease. Symptoms and Signs, Differential Diagnosis. Primary infections with herpes simplex virus (E herpeticum) are often severe in atopic E patients and require hospitalization. Besides reducing the.
A subset of AD patients exhibits a disseminated severe HSV infection called eczema herpeticum (EH) that can cause life‐threatening complications. This review gives an overview of the clinical picture, and characteristics of the patients as well as the diagnosis and therapy of EH. 5 DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS. EH is often. Diagnosis of eczema is primarily clinical. History and physical examination are sufficient to make the diagnosis, and routine laboratory work is unnecessary. History. Affected skin is xerotic (dry) and pruritic. Symptoms start by 6 months of age in 45% of patients, and before the age of 5 in 85% Eczema Herpeticum 1. Eczema HerpeticumEczema Herpeticum Sarah GoodallSarah Goodall Differential DiagnosisDifferential Diagnosis Exacerbation of primary skin lesionExacerbation of primary skin lesion Animal Pox VirusAnimal Pox Virus Blistering diseaseBlistering disease -e.g. pemphigus vulgaris-e.g. pemphigus vulgaris - bullous pemphigoid. severe HSV infection called eczema herpeticum (EH) that can cause life-threatening complications. This review gives an overview of the clinical picture, and characteris-tics of the patients as well as the diagnosis and therapy of EH. A special focus lies on the pathophysiological hallmarks identified so far that predispose for EH. This aspec timely diagnosis and optimal treatment. Keywords: atopic dermatitis; differential diagnosis; eczema; adult; adolescent; child; eczema herpeticum; eczema coxsackium; immunodeficiency; seborrheic dermatitis; psoriasis 1. AD Diagnosis Atopic dermatitis (AD) is the most common chronic skin disease in children, typically presentin
Differential diagnosis. Eczema herpeticum is a serious skin infection that occurs as a secondary herpesvirus infection within preexisting lesions of atopic dermatitis or another erosive. Definition (NCI_NCI-GLOSS) A group of conditions in which the skin becomes inflamed, forms blisters, and becomes crusty, thick, and scaly. Eczema causes burning and itching, and may occur over a long period of time. Atopic dermatitis is the most common type of eczema . 1 Answer 4 Skin swabs should be performed for viral polymerase chain reaction (PCR) and microscopy culture and sensitivity Rash in Children - Differential Diagnosis. TOPIC. IMAGES (189) UPDATES. ABOUT. Follow Share. Follow. Share. Varicella exanthem. View in Context: Chickenpox; Rash in Children - Differential Diagnosis; Eczema Herpeticum; Rash in Children - Differential Diagnosis; Eczema herpeticum. View in Context: Eczema Herpeticum; Rash in Children.
The term 'eczema herpeticum' describes an acute disseminated herpes simplex infection, often associated with systemic symptoms, in patients with atopic dermatitis. The disorder usually presents as sudden deterioration of a child's eczema. Vesicles are the most common lesions and tend to occur in crops, but presenting lesions also include pustules, papules, crusts and punched-out lesions. Morphology: Pustules Diagnosis: Eczema herpeticum Site: Forehead Sex: M Age: 17 Type: Clinical Description: Grouped vesicles and pustules on the forehead and eyelids Submitted by: Ian McColl View Full Size Differential Diagnosis : History: Eczema herpeticum (Sometimes called Kaposi's varicelliform eruption) is the spread of herpes simplex virus from the primary site into areas involved by. Figure 2. Localized eczema herpeticum. Figure 3. Severe eczema herpeticum. What other disease/condition shares some of these symptoms? The clinical differential diagnosis includes Diagnosis and assessment of eczema. Adherence Treatment of eczema is complex, time-consuming and often disliked by children. Unsurprisingly, poor adherence and suboptimal use of treatments are the most common causes of treatment failure. However about 5-10% of children have severe eczema that cannot be adequately controlled with topical treatments
Differential diagnosis. The differential diagnosis for a vesicopustular rash can be divided into non-infectious and infectious causes. Non-infectious causes include pustular psoriasis, drug hypersensitivity, vasculitis and bullous lupus erythematosus. Infectious causes include eczema herpeticum, herpes zoster, hand, foot and mouth disease. ASSOCIATED FINDINGS AND DIFFERENTIAL DIAGNOSIS. There are many associated findings with AD 7-12 (Table 124-1). Children with AD also have a tendency to develop secondary viral and bacterial skin infections. Herpes simplex virus infection is known as eczema herpeticum or Kaposi's varicelliform eruptions 13 (Fig. 124-6). The child is usually. The Diagnosis: Kaposi Varicelliform Eruption (Eczema Herpeticum) Polymerase chain reaction confirmed presence of herpes simplex virus (HSV) type 1, and the patient was started on intravenous acyclovir (10 mg/kg every 8 hours). Diagnosis was further supported by histopathologic examination with confirmatory immunohistochemistry (Figure 1) Morphology: Pustules Diagnosis: Eczema herpeticum Site: Eyelids Sex: M Age: 17 Type: Clinical Description: Close up of the vesicles on the eyelids Submitted by: Ian McColl View Full Size Differential Diagnosis : History: Eczema herpeticum (Sometimes called Kaposi's varicelliform eruption) is the spread of herpes simplex virus from the primary site into areas involved by atopic dermatitis.This. Differential diagnosis. The following diseases may mimic some signs of eczema - This condition is called eczema herpeticum. In this case, you need antiviral medicine such as acyclovir but make sure you discuss it with your doctor. Using antifungal treatment: Adults with seborrheic dermatitis are treated with dandruff shampoo. So far it is.
In individuals with underlying dermatological conditions, infection with HSV can cause. eczema herpeticum. , resulting in painful. erosions. spread diffusely over the head and upper body. However, the majority of primary infections remain asymptomatic, while recurrent infections present with the typical manifestations Differential diagnosis. Infantile seborrhoeic dermatitis - not itchy, predominantly located around the neck, scalp, and nappy region.; Scabies: . Consider in non-atopic child with sudden onset. Presents as itchiness, with erythematous papular eruption, particularly if typical burrows between finger webs, axillae, umbilicus, and genital regions
Differential diagnosis • infantile seborrhoeic eczema • candidiasis. 53. Treatment • It is never easy to keep this area clean and dry, but this is the basis of all treatment. • superabsorbent diaper is best and should be changed regularly, especially in the middle of the night Impetiginized eczema also is in the differential diagnosis of eczema herpeticum. S. aureus and Streptococci are the most important causative organisms. Lesions can manifest as a single red papule or macule that quickly becomes vesicular or eroded. Subsequently, the content dries, forming honey-colored crusts Eczema herpeticum is a rare and potentially life-threatening viral infection. We present the case of a 54-year-old man who presented to the emergency eye clinic with a dendritic ulcer and a facial rash. An initial diagnosis of herpes zoster ophthalmicus was suspected. On follow-up, the rash had begun to rapidly disseminate and was no longer respecting dermatome boundaries Atopic dermatitis, also known as atopic eczema, affects a large proportion of children and is most common in infants, where it occurs in 20% of those under two years of age. 1-3 Over the past 30 years, a twofold to threefold increase in paediatric atopic dermatitis has been reported. 2,4 Most children develop atopic dermatitis before the age of two years. 5 Significant morbidity associated.
Inflammation (day 1): Swelling and redness. Pre-sore (day 2-3): Tiny, hard, inflamed papules and vesicles that may itch and are painfully sensitive to touch. Open lesion (day 4): Vesicles break open and merge to create one big, open, weeping ulcer. May develop a fever and lymphadenopathy. Crusting (day 5-8): A honey/golden crust starts to. Eczema, also known as atopic dermatitis, is an inflammatory skin condition that causes a scaly, inflamed, itchy rash. It can affect people of all ages, but it occurs more frequently in children, especially before age five, than in adults. 1 . Although the exact cause of eczema is unknown, it's believed to be the result of both. Roseola, also known as sixth disease, is an infectious disease caused by certain types of virus. Most infections occur before the age of three. Symptoms vary from absent to the classic presentation of a fever of rapid onset followed by a rash. The fever generally lasts for three to five days, while the rash is generally pink and lasts for less. Moreover, differential diagnose may appear, including impetigo, eczema vaccinatum (EV), contact dermatitis, and chickenpox [11, 12, 15, 33, 53] requiring differential management. The difficulty of establishing diagnosis renders it important clinicians should pay attention to any deterioration in an AD patient We present a case of adult generalized eczema herpeticum and a review of the differential diagnosis, and management options. Eczema herpeticum (EH) is a unique manifestation of disseminated herpes simplex virus infection most commonly observed in an individual with atopic dermatitis or other forms of eczema. If not identifi ed and treated early.
Eczema herpeticum is an infection of herpes simplex virus The diagnosis of atopic eczema is based on clinic al history and examination. The differential diagnosis in this context includes atopic dermatitis, irritant or allergic contact dermatitis, stasis dermatitis and scabies infestation.. Skin rash, consisting of crusted plaques and vesicles, on the face and neck (A) and the right hand (B) of a 25-year-old woman at 12 weeks gestation with eczema herpeticum. Given her history of atopic dermatitis and diffuse vesicular lesions, we considered eczema herpeticum in the initial differential diagnosis and started acyclovir intravenously Differential Diagnosis and Diagnosis The differential diagnosis of eczema herpeticum includes impetigo, varicella-zoster virus, and EV.1 A diagnosis of eczema herpeticum should be consid-ered in the presence of multiple umbilicated papules, vesicopustules, or erosions in a patient with underlying skin disease. The presence of herpesviru
DIFFERENTIAL DIAGNOSIS • Seborrhoeic dermatitis (p. 20, erythema and scaling of the face, scalp, and chest). • Contact dermatitis (p. 18, eczema in a localized area or unusual distribution). • Eczema herpeticum (p. 10, eczema plus small, punched-out erosions of herpes simplex virus (HSV) infection). • Scabies infestation (p. 162, severe. A REVIEW OF DIFFERENTIAL DIAGNOSES AND TREATMENT OPTIONS Kate Braunlich, DO, PGY4 Program Director: Dr. Richard Miller . Diagnosis Viral culture (high specificity, low sensitivity), direct fluorescent antibody assays, serology (Western May need IV acyclovir in eczema herpeticum,. Kaposi varicelliform eruption; eczema vaccinatum Definition Eruption caused by herpes simplex virus (HSV)-1, herpes simplex virus (HSV)-2, Coxsackie A16 virus, or vaccinia virus that infects a preexisting dermatosis, most commonly atopic dermatiti Forming the best differential diagnosis for a dermatologic condition requires an extensive knowledge base on an array of skin conditions. Part 1 of this CE course is specifically designed to augment your present understanding of acute and communicable skin maladies. This session begins with detailed discussions on fungal conditions such as tinea corporis and Majocchi's [ differential diagnosis of AD exacerbation especially in the infants with moderate to severe AD. Key words: atopic dermatitis, eczema herpeticum, Kaposi's varicelliform eruption, Herpes Simplex virus. Aysegül Ertuğrul firstname.lastname@example.org Received 11th March 2019, revised 22nd October 2019, accepted 15th November 2019
Treatment of Eczema Herpeticum Recommend obtaining viral culture, DFA, HSV PCR Stop topical steroids or topical calcineurin inhibitors Systemic acyclovir at high doses May require IV therapy and hospitalization Differential diagnosis includes. Eczema herpeticum is a dermatological emergency causing a mortality of up to 10% if untreated. It frequently presents in a localised form and A differential diagnosis of EH was considered when, on further history taking, it was noted that the patient's wife had suffered from oral herpes 2 weeks prior to the patient' Eczema herpeticum is an infection with herpes simplex virus (HSV) of the skin that is more diffuse and widespread than those in nonatopic patients. Eczema herpeticum is commonly the primary HSV infection, but can also result from recurrent infection, in patients with atopic dermatitis DIFFERENTIAL DIAGNOSIS The differential diagnosis for a vesicopustular rash can be divided into non-infectious and infectious causes. Non-infectious causes include pustular psor-iasis, drug hypersensitivity, vasculitis and bullous lupus erythematosus. Infectious causes include eczema herpeticum, herpes zoster, hand, foot an Eczema herpeticum starts with clusters of itchy or painful vesicles / punched-out monomorphic erosions, which may coalesce. Any site may be affected, most commonly the face and neck. Lesions can occur in normal skin or in sites actively or previously affected by atopic eczema or other skin conditions. New patches form and spread over a period.
Eczema herpeticum may coexist with impetigo causing clinical confusion but Affects any area of skin but commonly areas of atopic eczema Differential includes coxsackie virus - see Hand, foot and mouth disease guideline Clinical diagnosis Can be confirmed with blood tests: o Parvovirus serology; IgG, IgM (Lithium heparin bottle). The differential diagnosis for eczema herpeticum includes herpes zoster; however, zoster presents with clusters of lesions along a dermatome, and zoster lesions are usually more painful than.
Diagnosis. Pruritis- Eczema is the itch that rashes Eczema herpeticum- rapid replication of viruses with systemic manifestations and possible death. Can also occur with chickenpox. Differential Diagnosis. Seborrheic Dermatitis- usually younger onset, different distribution, and not pruritic Eczema is a dry, itchy chronic inflammatory skin condition, which typically begins in early childhood. Eczema affects 1 in 4 Australian children. Usually starts at less than 12 months of age. It follows a remitting and relapsing course. Eczema tends to resolve in most children by 5 years o There is some evidence of lichenification and scaling but no evidence of secondary infection or eczema herpeticum o These lesions are consistent with atopic eczema Differential diagnosis: Other types of eczema. If allowed to ask patient questions: Personal/ family history of asthma, hayfever, eczema
Children with atopic eczema who have suspected eczema herpeticum (a rare but serious infection caused by the same virus that causes cold sores) receive immediate treatment with an antiviral drug (called systemic aciclovir), which can be given as medicine or an injection, and are referred immediately for same-day specialist advice experience of differential diagnosis of skin allergies in children. The difficulties detected at various stages of the disease diagnosis with the need for differentiation of allergic diseases (food allergy, atopic dermatitis, urticaria, insect allergy) and non-allergic genesis are: viral infections with skin lesions (herpes, chicken pox Diagnosis of atopic eczema can be difficult as there many forms of eczema and some characteristics are often shared. In addition, there are comorbidities, overlaps, where two conditions can co-exist, and complications from bacterial and viral secondary infections. However, it is widely accepted that the U.K developed diagnostic criteria is the. Atopic eczema is an itchy inflammatory skin disease with a chronic relapsing-remitting course; it has increased in prevalence in recent decades and now affects up to 25% of school-aged children in the developed world and up to 10% of adults. Recent advances in understanding the aetiology of eczema have focused interest on skin barrier dysfunction as a common precursor and pathological feature The differential diagnoses are extensive, ranging from self-limiting conditions (e.g., roseola) to life-threatening illnesses such as meningococcal disease. Rash may be the first indication of a potentially serious multiorgan disease or sepsis and should be carefully evaluated (see Urgent considerations)
Eczema Herpeticum. Children with atopic dermatitis are at a higher risk of developing herpes,viral infections which may be life-threatening. Nummular Eczema. Coin-shaped lesions appear on trunk and legs. Paget's Disease of the Breast. Eczema around the nipples and areola of women which is most often due to an underlying carcinoma. Lichen Simple Diagnosis: (B) Eczema herpeticum Case Discussion. Eczema herpeticum is secondarily infected atopic dermatitis (AD) with the herpes simplex virus (HSV 1 or 2), which can be a very serious and. Eczema is described as dry skin that may appear to be small blisters or raised spots. psoriasis is rough, red and raise skin, which can be itchy too. Silvery scales over the skin lesion. Absent. Present. Dennie Morgan fold i.e. extra fold of skin beneath the eye. Present. Absent. Allergy to food This can be differentiated from the main differential diagnoses of conventional HFMD disease, impetiginized eczema and eczema herpeticum on clinical grounds. Oral and acral involvement was variable. Five of the six children had a previous diagnosis of AD, and the remaining child had a flexural rash suggestive of eczema at the time of presentation However, there is a condition called eczema herpeticum, in which standard allergic eczema is complicated by a secondary infection with HSV1. Look at online photos of it. Look at online photos of it. You may not need to see a dermatologist within 48 hours of onset to get an accurate diagnosis
Eczema is a common inflammatory skin condition characterised histologically by spongiosis with varying degrees of acanthosis, and a superficial perivascular lymphohistiocytic infiltrate. The clinical features may include itching, redness, scaling and clustered papulovesicles. The condition may be induced by a wide range of external and internal factors acting singly or in combination The differential diagnosis of thick, tenacious scalp scale with or without associated alopecia includes psoriasis (see Section 2.2). Acute worsening with associated tenderness is characteristic of superimposed streptococcal intertrigo (see Section 3.1). Eczema herpeticum (EH), is an acute-onset, potentially life-threatening viral infection. Dermatitis (also known as eczema) is inflammation of the skin, typically characterized by itchiness, redness and a rash. In cases of short duration, there may be small blisters, while in long-term cases the skin may become thickened. The area of skin involved can vary from small to covering the entire body. Dermatitis includes atopic dermatitis, allergic contact dermatitis, irritant contact. Eczema Herpeticum. Eczema herpeticum is a disseminated viral infection characterized by fever and clusters of itchy blisters or punched-out erosions 2).The vast majority of eczema herpeticum cases are caused by herpes simplex virus type 1 (HSV 1) and herpes simplex virus type 2 (HSV 2) and most often seen as a complication of atopic dermatitis/eczema 3)