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[Hutchinson's sign]
Gabriele Marcello Brodo1, Lauriane Epitaux2, Edmond Schmied3
1Service et département de médecine interne, Réseau hospitalier neuchâtelois, 2000 Neuchâtel.
Revue Medicale Suisse
|February 12, 2026
Summary
Hutchinson
Area of Science:
- Dermatology and Virology
Background:
- Hutchinson's sign involves a reactivation of the varicella-zoster virus.
- It presents as a dermatological finding on the nose tip, progressing to necrosis.
Purpose of the Study:
- To highlight the clinical presentation and implications of Hutchinson's sign.
- To emphasize the need for prompt diagnosis and management of this condition.
Main Methods:
- Case presentation of a patient with characteristic symptoms.
- Review of the pathophysiology of varicella-zoster virus reactivation.
Main Results:
- The patient developed a necrotic lesion on the nose tip, indicative of Hutchinson's sign.
- This sign is linked to the nasociliary branch of the trigeminal nerve.
Conclusions:
- Hutchinson's sign necessitates immediate systemic treatment due to potential ocular complications.
- Ophthalmologic consultation is crucial for suspected ocular involvement.
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