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KMID : 0032220050170010001
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Annals of Dermatology
2005 Volume.17 No. 1 p.1 ~ p.6
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Clinical Features of Eczema Herpeticum in Comparison with Localized Herpes Simplex Virus Infection
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Hwan Herr
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Abstract
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Background: The pathogenesis Of eczema herpeticum (EH) still remains unclear. Atopic dermatitis (AD) and use of corticosteroids are thought to be associated with EH. Some serologic tests like eosinophil counts, lgE, and erythrocyte sedimentation rate (ESR) are considered as the predictors for the development of EH.
Objectives: The purpose of this study is to understand clinical and laboratory characteristics of EH and localized herpes simplex virus (HSV) infection in terms age, sites Of involvement, use of topical corticosteroids, the past and/or present AD, and some laboratory findings. Method: Patients (n=25) who had EH were compared with patients (n=25) who had localized HSV infection.
Results: There was an age preponderance whereby children and young adults less than 30 years of age were more likely to have EH. EH was definitely more likely to occur in facial herpes than genital herpes. The sites of involvement of EH tended to be the face, the neck, and the trunk, in order of frequency. Use of topical corticosteroids did not appear to be
associated qith EH. Patients with EH were more likely to have past and/or present AD than control patients. Neither serum eosinophil counts nor IgE level was likely to be higher, otherwise, ESR was significantly higher in EH than in control patients.
Conclusions: The results suggested EH was more likely to occur at a younger age, on the face, in association with AD and with an increased ESR, compared to localized HSV infection. (Ann Dermatol 17(1) 1~6, 2005)
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KEYWORD
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Eczema herpeticum, Herpes simplex virus infection
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