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Nevocentric erythema multiforme in a child
Eugenia Veronica Di Brizzi1, Federico Tartari2, Federica Filippi2
1Dermatology Unit, University of Campania, Naples, Italy.
Pediatric Dermatology
|December 29, 2020
Summary
A rare skin condition caused multiple ring-shaped rashes in a child, potentially linked to a history of herpes simplex virus infections. Further investigation is needed to confirm the association and understand the underlying mechanisms.
Area of Science:
- Dermatology
- Pediatric Dermatology
- Infectious Diseases
Background:
- Cutaneous manifestations of viral infections can present with diverse morphologies.
- Herpes simplex virus (HSV) infections are common, particularly in children, and can have varied clinical presentations.
- The association between recurrent HSV and specific dermatological conditions requires further elucidation.
Observation:
- A 9-year-old female presented with multiple annular, erythematous, nonscaly plaques.
- Lesions were distributed on the trunk, face, and arms.
- Many plaques were noted to surround pre-existing melanocytic nevi.
Findings:
- The patient reported a history of recurrent herpes simplex labialis, with the most recent episode occurring 10 days before presentation.
- The clinical morphology and distribution of the skin lesions suggest an unusual inflammatory response.
- The perilesional involvement of melanocytic nevi is a notable characteristic.
Implications:
- This case may represent a rare presentation of a herpes-associated dermatosis.
- Further investigation is warranted to elucidate the pathomechanism linking HSV recurrence to these specific skin lesions.
- Understanding such associations can improve diagnostic accuracy and management strategies for atypical cutaneous conditions.
