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Kaposi's varicelliform eruption.

Manjunath M Shenoy1, U Suchitra

  • 1Department of Skin and VD, K. S. Hegde Medical Academy, Deralakatte, Mangalore, India. manjunath576117@yahoo.co.In

Indian Journal of Dermatology, Venereology and Leprology
|February 27, 2007
PubMed
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Kaposi's varicelliform eruption, a viral skin infection, can affect children with atopic dermatitis. Early diagnosis using clinical signs and Tzanck smears, followed by acyclovir treatment, leads to adequate recovery.

Area of Science:

  • Dermatology
  • Virology
  • Pediatrics

Background:

  • Kaposi's varicelliform eruption (eczema herpeticum) is a severe cutaneous viral infection.
  • It commonly affects individuals with underlying skin conditions, particularly atopic dermatitis.
  • Herpes simplex virus is a frequent causative agent.

Observation:

  • A three-year-old child with a history of atopic dermatitis presented with a widespread vesicular eruption.
  • The child exhibited symptoms including fever and malaise.
  • Clinical presentation was highly suggestive of Kaposi's varicelliform eruption.

Findings:

  • Diagnosis was confirmed through clinical examination and Tzanck smear analysis.
  • The Tzanck smear revealed characteristic viral cytopathic effects.

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  • The patient showed a positive response to antiviral therapy.

    • Implications:

    • This case highlights the importance of recognizing Kaposi's varicelliform eruption in atopic children.
    • Prompt diagnosis and initiation of antiviral treatment, such as oral acyclovir, are crucial for effective management.
    • Early intervention can prevent complications and promote recovery in pediatric patients.