Eczema herpeticum differential
Common Questions and Answers about Eczema herpeticum differential
eczema
ll just say (again) that your symptoms and description of the rashes are not typical for herpes (but you already know that). 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.
You may not need to see a dermatologist within 48 hours of onset to get an accurate diagnosis.
There is one possible exception to this, however -- a condition called eczema herpeticum. When someone has eczema -- which is an enitrely separate skin condition, usually caused by allergy -- HSV can take hold in the eczematous rash. I doubt this is happening in your husband's case, since he is taking Valtrex -- which would make such a complication very unlikely. However, eczema herpeticum can be quite serious.
Acyclovir is sometimes used to treat eczema herpeticum, which is a skin infection caused by the herpes virus, to treat and prevent herpes infections of the skin. People who suffer from this disorder should avoid contact with triggering factors like soaps, cosmetics, jewelry, clothing, and detergents. Sometimes sweat, changes in temperature and psychological stress are known to trigger these episodes.
I came across in the internet about Kaposi varicelliform eruption or eczema herpeticum which affects people with eczema(I know I should not be relying on the internet but it was one of those things I just read unknowingly and made me all worried) . I dont have such a problem and I know it is rare but my father actually works as an allergist and might be exposed to patients with eczema herpeticum when they come to find out about the allergies which is causing their eczema.
Are eczema sufferers very likely to get eczema herpeticum if exposed to the herpes virus or is it still rare?
This is very important since she suffers from fairly bad eczema, which if HSV-1 can cause a secondary infection in a different location, even if she has already gotten HSV-1, it could cause issues.
Finally, in a related note to my diagnosis with HSV-1, with modern testing what is the probability of error? Should I get a secondary test to confirm it, or is one enough? Also should I use a different testing group for the second test or is that immaterial?
few days ago I found out about disease called Eczema Herpeticum, which is a potentially deadly inflammatory disease which is caused by herpes virus HPV1 and infects inflamed skin such as Eczema, Seborrhoeic dermatitis, etc. It will create watery pastules/warts/nodules, which if untreated, will spread to whole face and then rest of the body and may cause death...
I love her, and I cant imagine being without her... but I am afraid of this. How big risk is developing that disease?
as i stated before i KNOW that its not common to end up getting herpetic eczema (also called eczema herpeticum) (which is what its called when you get it through atopic dermatitis or eczema lesions and NOT through direct oral or genital contact)...
@ franklinandbash yes hsv CAN be gotten by someone touching an arm (or anywhere else that has a severe atopic dermatitis flair up or eczema flair up....
There is a strong history of atopy in the family. At this point infantile eczema is still a likely differential. The family history of dermatitis and the way you described the skin condition may still suggest that this is so. In infants the cheek seems to be the most common area involved. Infantile eczema may have variable appearances .They do not have a definite characteristic. So ,this is still a likely differential here.
I suggest you seek second opinion with another dermatologist .
I asked me doctor if anything looked like eczema and he said no, but ran a platelets test to see. So I guess we can rule out eczema herpeticum.
My questions are, can anything else be compromising my immune system that I can get checked? Cancer or something?
The only abnormality was a low vitamin d level that I've been taking daily tablets to help that.
How likely is a dessiminated infection likely to recur in these locations?
my daughter has eczema and I am worried about eczema herpeticum. She is so little still and comes into contact with so many other kids and people- I just want some cold hard facts on the possiblilites of her contracting eczema herpeticum. Her eczema is mainly on her face. Would it just take a kiss on the cheek to pass the herpes virus to her eczema? Or is it trasmitted to ones self by a cold sore to an eczema patch by touch? How common is this?
First off don't judge your 15 year old too harshly...HSV is a really common virus and most people don't get it from being promiscuous. Also, Herpes are NOT tested in STD check ups. Most people don't get a herpes test until they show symptoms (a minority among the HSV positive crowd).
Transmission can occur when asymptomatic, but the rates are really very low. HSV can easily be passed on in skin to skin contact when there's a sore.
I went to another local doctor who took one look and it was eczema herpeticum, (or possibly molluscum conatagiousomething) and when he said it was EH = eczema + herpes, I started freaking out.
A biopsy showed eczema. However, this has been ongoing for 10 months. All tests for autoimmune diseases have come back negative. Any suggestions as to what this can be?
I consulted dermatology and they popped on of the blisters and took a viral culture. He was seen by the second year resident who believes this could be eczema herpeticum. I briefly touched one of the patients lesions but did not get any liquid on me. I have no cuts on my fingers but I'm super worried that I may acquire a herpetic whitlow from this exposure. I washed my hands 4 times afterwards.
Dishydrotic eczema thins the skin and makes it fragile. Irritant or xerotic eczema is another differential here. This form of eczema is due to exposures to certain irritants which may dry the skin. The scales may be subjected to KOH examination just to rule out a fungal infection.
Avoid washing the hands frequently. Use only a mild cleanser to wash the hands .Also, keep the hands and fingers clean and moisturized to avoid further irritation.
I have what doctors call eczema. It started of January this year and is the first time I have ever had eczema. It came all of a sudden and covers my entire body. It is red and sometimes bumpy but sometimes smooth. Always swollen and extremely itchy everywhere. I scratch so much that it bleeds because I cant stop. my skin doesn't feel like skin anymore it feels like whats underneath the skin now because of all the scratching. its near impossible to sleep at night because of the scratching.
There are very rare cases of disseminated HSV infections that might cause multiple skin lesions, especially if there is simultaneous severe eczema (eczema herpeticum); or even without eczema. But this really isn't an STD problem and I know much less about it than your own doctors. (The problem might be acquired sexually, especially if it is HSV-2. But STD specialists don't provide care to such unusual or complicated cases.
Thank you for your comments. I have been taking lysine but not consistently, so I will certainly keep up on that. Mostly I want to be sure this is herpes. From the pictures I've looked at on the Internet, the sores most resemble eczema herpeticum and chicken pox. I'm frustrated that I can't get it under control. I'm 37 and work around others quite closely so I want to be responsible about how contagious I am and when I am the most contagious.
For chronic, persistent and recurrent skin conditions, a dermatitis or an eczema is a likely differential. This type of profile is expected for dermatitic conditions. There is really no definite medical therapy for dermatitis. Moisturizers and steroids seem to be the mainstay but only for temporary relief.
At this point, a fungal infection may also be a differential. Fungal infections and dermatitis may both be present and may delay resolution of the problem.
This sounds like eczema. The fact that nothing works is typical of eczema. Everyone is different and no one product works for everyone. The rash comes and goes and for some never goes away. The skin barrier is not working properly and your immune system identifies innocuous substances as harmful.
You are probably allergic to some of the creams they told you to use. One thing that works most of the time is Vaseline. I know it's greasy but it works.
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