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Eczema herpeticum in pregnancy
Grigoriy E Gurvits1, Jill A Nord2
1New York University School of Medicine, Langone Medical Center;
Dermatology Reports
|November 12, 2014
Summary
Eczema herpeticum (EH) is a severe skin infection in patients with atopic dermatitis. This rare case highlights the risks of EH during pregnancy, known as eczema herpeticum gravidarum (EHG).
Area of Science:
- Dermatology
- Virology
- Obstetrics
Background:
- Eczema herpeticum (EH), also known as Kaposi's varicelliform eruption, is a potentially fatal skin infection caused by herpes simplex virus type 1 (HSV-1).
- It primarily affects individuals with compromised skin barrier function, commonly seen in atopic dermatitis (AD).
- Viremia during pregnancy poses significant risks, including fetal demise and miscarriage.
Observation:
- This report details a rare case of EH occurring during pregnancy, termed eczema herpeticum gravidarum (EHG).
- This represents the third documented instance of EHG in medical literature.
Findings:
- The case underscores the severe manifestations of HSV-1 in pregnant patients with underlying skin conditions like AD.
- Highlights the critical need for prompt recognition and management of EHG to prevent adverse maternal and fetal outcomes.
Implications:
- Early diagnosis and treatment of EHG are crucial for improving maternal and fetal prognosis.
- This case contributes to the limited understanding of EHG and emphasizes the importance of vigilance in high-risk pregnancies.
- Further research is warranted to elucidate the specific pathophysiology and optimize management strategies for EHG.
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