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Turk J Pediatr 2020 ;62(3):514-519

Department of Pediatric Allergy and Clinical Immunology, Health Sciences University Dr. Sami Ulus Maternity and Children Training and Research Hospital, Ankara, Turkey.

Background: Eczema herpeticum (EH) is an acute disseminated viral infection that develops in the presence of an existing skin lesion, often on the ground of atopic dermatitis (AD). Morbidity and mortality of EH can be minimized by starting antiviral therapy at the earliest time in diagnosis.

Case: Herein we report five infants diagnosed with EH in the course of AD treatment. Read More

Cutis 2019 Nov;104(5):295-296

Department of Dermatology, Indiana University School of Medicine, Indianapolis, USA.

Eczema herpeticum has been well described in the setting of atopic dermatitis (AD) and other dermatoses. We present the case of a 2-month-old infant boy with cutaneous herpes simplex virus (HSV) infection within existing diffuse infantile seborrheic dermatitis. Providers should be aware that cutaneous HSV can be confined to a seborrheic distribution and may represent underlying epidermal dysfunction secondary to seborrheic dermatitis. Read More

Cureus 2019 Oct 14;11(10):e5907. Epub 2019 Oct 14.

Surgery, Burn Center, The Johns Hopkins University School of Medicine, Baltimore, USA.

Familial benign pemphigus, or Hailey-Hailey disease (HHD), is a rare (1 in 50,000), benign, autosomal dominant cutaneous disorder that causes a painful rash and blistering commonly occurring in the intertriginous folds. Despite having a good prognosis, there is no cure for HHD and the disease can be quite debilitating to the quality of life. The complexity of HHD can be compounded by superimposed eczema herpeticum (EH) or Kaposi's varicelliform eruption, which is caused by a viral infection occurring in preexistent cutaneous conditions. Read More

Eur J Dermatol 2019 Oct;29(5):564-565

Dpt of Dermatology, University of Franche Comté EA3181, and University Hospital, Besançon, France.

Clin Epigenetics 2019 08 23;11(1):122. Epub 2019 Aug 23.

University of Colorado, Denver, CO, USA.

Background: Although epigenetic mechanisms are important risk factors for allergic disease, few studies have evaluated DNA methylation differences associated with atopic dermatitis (AD), and none has focused on AD with eczema herpeticum (ADEH+). We will determine how methylation varies in AD individuals with/without EH and associated traits. We modeled differences in genome-wide DNA methylation in whole blood cells from 90 ADEH+, 83 ADEH-, and 84 non-atopic, healthy control subjects, replicating in 36 ADEH+, 53 ADEH-, and 55 non-atopic healthy control subjects. Read More

Kaohsiung J Med Sci 2019 Oct 7;35(10):646-647. Epub 2019 May 7.

Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan.

Dermatol Online J 2019 Apr 15;25(4). Epub 2019 Apr 15.

Texas Tech University Health Sciences Center School of Medicine, Lubbock, Texas.

Darier disease (DD), also known as keratosis follicularis or Darier-White disease, is a rare autosomal dominant genodermatosis that presents as hyperkeratotic, warty papules affecting the seborrheic and intertriginous areas. Patients with DD are at risk of secondary infections including the rare complication of Kaposi varicelliform eruption (KVE), a widespread viral infection most commonly caused by herpes simplex virus (HSV). Darier disease with secondary KVE can lead to widespread systemic infection and death. Read More

Dermatol Ther 2019 03 7;32(2):e12826. Epub 2019 Feb 7.

Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.

Arch Argent Pediatr 2019 02;117(1):e59-e62

Servicio de Pediatría, Hospital Juan Ramón Jiménez, Huelva. España.

Hand-foot-mouth disease can present atypically, including forms with more numerous lesions and/or morphologically different from the classic presentation. It may even mimic other viral diseases. We present the case of a 2-year-old child previously diagnosed with atopic dermatitis, who presented with papules and umbilicated vesicles affecting the perioral area and limbs, predominantly in pressure areas, as well as in areas with previous atopic lesions. Read More

J Fam Pract 2018 Dec;67(12):783-785

San Antonio Uniformed Services Health Education Consortium, San Antonio, Texas, USA.

The patient described a history of "recurrent impetigo," which led to an uncommon diagnosis. Read More

J Immunother Cancer 2018 11 19;6(1):122. Epub 2018 Nov 19.

Division of Hematology/Oncology, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Background: Immune-directed therapies have become front-line therapy for melanoma and are transforming the management of advanced disease. In refractory cases, multi-modal immunoncology (IO) approaches are being utilized, including combining immune checkpoint blockade (ICB) with oncolytic herpes viruses. Talimogene laherparepvec (T-VEC) is the first genetically modified oncolytic viral therapy (OVT) approved for the treatment of recurrent and unresectable melanoma. Read More

Tunis Med 2018 May;96(5):328-329

Am J Dermatopathol 2018 Dec;40(12):920-923

Summit Medical Group, Morristown, NJ.

Patients with mycosis fungoides experience considerable morbidity and mortality from secondary bacterial and viral infections. Staphylococcus aureus, β-hemolytic streptococci, herpes simplex virus, and herpes zoster virus remain the most common infectious pathogens in this group of patients. With depressed cellular immunity and diminished skin barrier as the main precipitating risk factors, immunocompromised patients can often present with an atypical presentation of a common dermatologic condition. Read More

Exp Clin Transplant 2020 Apr 28;18(2):252-254. Epub 2018 Jun 28.

>From the Department of Infectious Diseases,Sindh Institute of Urology and Transplantation, Karachi, Pakistan.

A 43-year-old male patient developed varicella virus (chickenpox) 4 months after receiving a liver transplant. Within 5 days of complete recovery, he presented with widespread cutaneous vesicular eruptions involving the face, back, abdomen, and upper extremities. Tzanck smear showed ground glass inclusions in the nuclei of multinucleated giant cells, suggestive of viral pathology. Read More

J Invest Dermatol 2018 12 2;138(12):2540-2549. Epub 2018 Jun 2.

Department of Dermatology, Fukuoka University Faculty of Medicine, Fukuoka, Japan; Department of Dermatology, Fukuoka University Hospital, Fukuoka, Japan.

Destruction of epidermal barrier function associated with atopic dermatitis or Darier's disease often causes severe secondary skin infections. Patients with skin barrier disorders often repeatedly acquire Kaposi varicelliform eruption, which is caused by herpes simplex virus, but the underlying mechanisms and effective preventive methods have yet to be found. Viral infection through an impaired epidermal barrier can be prevented by enhancing innate immunity and/or inhibiting viral entry. Read More

J Paediatr Child Health 2018 Jun;54(6):702

J R Coll Physicians Edinb 2018 Mar;48(1):36-39

C Finlow, Noble's Hospital, Strang, Douglas IM4 4RJ, Isle of Man, Email:

Eczema herpeticum is a dermatological emergency causing a mortality of up to 10% if untreated. It frequently presents in a localised form and rarely disseminates via haematogenous spread with pulmonary, hepatic, ocular and neurological manifestations. Although it commonly appears on a background of atopic dermatitis, many other dermatological conditions have been described preceding this disease. Read More

Diagnosis (Berl) 2017 11;4(4):261-264

Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA.

Background: Eczema coxsackium (EC) can manifest in patients with underlying atopic dermatitis (AD) as a diffuse vesicular rash in a febrile child. The presentation overlaps clinically with the feared diagnosis of eczema herpeticum (EH), which makes differentiating between the conditions very important.

Case Presentation: A 6-month-old girl with known AD presented with fever and rapidly spreading vesicular rash. Read More

Ann Emerg Med 2018 Feb 5;71(2):263-270. Epub 2018 Feb 5.

Martin Army Community Hospital, Fort Benning, GA.

Clin Exp Dermatol 2018 Jul 15;43(5):636-638. Epub 2018 Feb 15.

Department of Dermatology, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

J Allergy Clin Immunol 2018 06 31;141(6):2085-2093.e1. Epub 2018 Jan 31.

Department of Pediatrics, National Jewish Health, Denver, Colo; University of Colorado School of Medicine, Aurora, Colo. Electronic address:

Background: Atopic dermatitis (AD) is a common inflammatory skin disease. A subset of patients with AD are susceptible to disseminated herpes simplex virus (HSV) infection, a complication termed eczema herpeticum (ADEH+). The immune mechanisms causing ADEH+ remain elusive. Read More

Ned Tijdschr Geneeskd 2018;162:D2078

Erasmus MC, afd. Dermatologie, Rotterdam.

A 31-year-old man visited the outpatient clinic Dermatology with an exacerbation of his atopic eczema. Since a few day vesicles and crusts had appeared and his eyelids were swollen. He was known to have eczema, for which he was treated with ciclosporin 200 mg 2 times a day (4 mg/kg per day) since four months. Read More

Skinmed 2017;15(6):474-475. Epub 2017 Dec 1.

Department of Dermatology, Kaiser Permanente Medical Center, Los Angeles, CA;

In February 2012, a patient with a 15-year history of painful, pruritic eruptions presented with a severe exacerbation that had lasted for the previous week. The patient also reported severe headaches, a fever of 38.9°C (102. Read More

J Pediatric Infect Dis Soc 2017 Nov;6(4):403-405

Department of Pediatrics, Division of Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee.

J Allergy Clin Immunol 2018 03 16;141(3):1144-1147.e5. Epub 2017 Nov 16.

Department of Dermatology and Allergy, Division of Immunodermatology and Allergy Research, Hannover Medical School, Hannover, Germany. Electronic address:

Pediatr Dermatol 2017 Nov;34(6):686-689

Saint Louis University Hospital, St. Louis, MO, USA.

Background/objectives: Interferon gamma (IFN-γ) has been used treat severe atopic dermatitis, with equivocal results. Recurrent eczema herpeticum is an underappreciated, therapeutically challenging complication of severe atopic dermatitis. Defects in IFN-γ and other cytokine pathways have been identified in individuals with confirmed eczema herpeticum. Read More

J Emerg Med 2017 Sep;53(3):412-413

Department of Emergency Medicine, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas.

J Invest Dermatol 2018 02 18;138(2):265-272. Epub 2017 Sep 18.

Departments of Dermatology, Preventive Medicine and Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. Electronic address:

Eczema herpeticum (EH) is characterized by viral infection of a preexisting inflammatory dermatosis and is associated with considerable morbidity. In this cross-sectional study, we sought to determine the incidence, risk factors, comorbidities, costs of care, length of stay, and mortality in hospitalized U.S. Read More

N Engl J Med 2017 Aug;377(7):e9

University of Catania, Catania, Italy

Vaccine 2017 07 20;35(33):4245-4254. Epub 2017 Jun 20.

Department of Infectious Diseases, Israel Institute for Biological Research (IIBR), Ness-Ziona, Israel. Electronic address:

Eczema vaccinatum is a severe and occasionally lethal complication of smallpox vaccine, characterized by systemic viral dissemination, distant from the initial inoculation site of the vaccine. A major risk factor for eczema vaccinatum is a background of atopic dermatitis, a chronic, common allergic, relapsing disorder, manifested by dry and inflamed skin, itchy rash, Th2 biased immune response and hypersensitivity to various antigens. Unlike the severe manifestations of eczema vaccinatum in humans, current models present only mild symptoms that limits examination of potential therapeutics for eczema vaccinatum. Read More

Dtsch Med Wochenschr 2017 May 17;142(10):721-722. Epub 2017 May 17.

J Immunol 2017 06 3;198(11):4341-4351. Epub 2017 May 3.

Pediatric Rheumatology, University of Colorado-Denver, Aurora, CO 80045

The IL-1 superfamily of cytokines and receptors has been studied extensively. However, the specific roles of IL-1 elements in host immunity to cutaneous viral infection remain elusive. In this study, we applied vaccinia virus (VACV) by scarification to IL-1R1 knockout mice (IL-1R1) and found that these mice developed markedly larger lesions with higher viral genome copies in skin than did wild-type mice. Read More

Emerg Med J 2017 May;34(5):314

Dermatology department, Hospital Clínic de Barcelona, Barcelona, Spain.

CMAJ 2017 04;189(13):E505

Department of Internal Medicine (Kim), Englewood Hospital and Medical Center, Englewood, NJ; Department of Hospital Medicine (Hohmuth), Geisinger Medical Center, Danville, Penn.

Ann Dermatol Venereol 2017 Mar 24;144(3):176-181. Epub 2017 Feb 24.

Service de dermatologie, hôpital Cochin, université Paris Descartes, Assistance publique-Hôpitaux de Paris (AP-HP), pavillon Tarnier, 89, rue d'Assas, 75006 Paris, France. Electronic address:

Background: Although varicelliform Kaposi eruption is a well-known complication of dermatoses, it has not been widely investigated.

Aim: To investigate features of dermatoses and herpes superinfection in patients hospitalized in a dermatology department.

Patients And Methods: We performed a single-centre, retrospective study between 2008 and 2014 that included cases of Kaposi varicelliform eruptions defined by positive PCR of an unconventional site of herpetic recurrence in a setting of active dermatitis. Read More

JAMA Dermatol 2017 04;153(4):317-318

Division of Dermatology, Cooper Medical School, Rowan University, Camden, New Jersey3Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia.

Immunol Allergy Clin North Am 2017 02;37(1):75-93

Department of Pediatrics, Keck School of Medicine, University of Southern California, 1975 Zonal Ave, Los Angeles, CA 90033, USA; Division of Clinical Immunology and Allergy, Children's Hospital Los Angeles, 4650 Sunset Boulevard, MS 75, Los Angeles, CA 90027, USA. Electronic address:

Atopic dermatitis is characterized by the interplay of skin barrier defects with the immune system and skin microbiome that causes patients to be at risk for infectious complications. This article reviews the pathogenesis of atopic dermatitis and the mechanisms through which patients are at risk for infection from bacterial, viral, and fungal pathogens. Although these complications may be managed acutely, prevention of secondary infections depends on a multipronged approach in the maintenance of skin integrity, control of flares, and microbial pathogens. Read More

J Dermatol 2017 Oct 24;44(10):1180-1181. Epub 2016 Nov 24.

Department of Dermatology, Asahikawa Medical University, Asahikawa, Japan.

Case Rep Obstet Gynecol 2016 20;2016:5319425. Epub 2016 Oct 20.

Department of Obstetrics and Gynecology, Detroit Medical Center, Wayne State University, 3990 John R., 7 Brush N., Detroit, MI 48201, USA.

Kaposi varicelliform eruption (KVE) is a widespread cutaneous viral infection, most commonly herpes simplex virus, which affects patients with underlying dermatosis. When KVE occurs in a patient with a history of psoriasis, it is referred to as psoriasis herpeticum, a rare subtype of KVE with only a handful of cases reported in the literature. To the authors' knowledge, we report for the first time a case of psoriasis herpeticum in pregnancy. Read More

J Pak Med Assoc 2016 11;66(11):1357-1361

Deptartment of Plastic and Reconstructive Surgery and Burn Unit, King Edward Medical University, Mayo Hospital, Lahore, Pakistan.

Objective: To study the clinical features, course and outcome of eczema herpeticum in burn patients.

Methods: This prospective study was conducted at the King Edward Medical University / Mayo Hospital, Lahore, Pakistan, from November 2012 to October 2015, and comprised eczema herpeticum patients. Demographic and clinical features of the patients, treatment protocols and outcomes were noted. Read More

J Fr Ophtalmol 2016 Nov 13;39(9):e247-e248. Epub 2016 Oct 13.

Cabinet privé, avenue Omar-Ibn-Al-Khattab, 10000 Rabat, Maroc.

J Fam Pract 2016 07;65(7):E1-3

University of Texas Health Science Center at San Antonio, TX, USA.

A bath with scented soap prompted a flare of the boy's eczema. Days later, he was hospitalized with diffuse erosions covering 90% of his body. What was the cause? Read More

J Allergy Clin Immunol 2016 12 14;138(6):1715-1719.e4. Epub 2016 Jul 14.

Academic Unit of Dermatology Research, Faculty of Medicine, Dentistry and Health, Department of Infection and Immunity, the University of Sheffield Medical School, Sheffield, United Kingdom; Peadiatric Dermatology/Allergy Clinic, Sheffield Children's Hospital, Sheffield, United Kingdom.

J Allergy Clin Immunol 2017 Mar 29;139(3):997-1006.e10. Epub 2016 Jul 29.

Division of Cell Biology, La Jolla Institute for Allergy and Immunology, La Jolla, Calif; Laboratory for Allergic Disease, RIKEN Center for Integrative Medical Sciences (IMS), Yokohama, Japan. Electronic address:

Background: Patients with atopic dermatitis (AD) are susceptible to several viruses, including herpes simplex virus (HSV). Some patients experience 1 or more episodes of a severe skin infection caused by HSV termed eczema herpeticum (EH). There are numerous mouse models of AD, but no established model exists for EH. Read More

Medicine (Baltimore) 2016 Jul;95(29):e4284

aDepartment of Dermatovenereology, West China Hospital, Sichuan University bDepartment of Diagnostic Ultrasound, Second University Hospital of Sichuan University cDepartment of Lab Medicine dDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.

Background: Eczema herpeticum is a rare, severe, and disseminated infection of herpes simplex virus in the setting of eczematous skin diseases.

Methods: We experienced a case of this disease in a 9-month-old infant characterized by a sudden onset of monomorphic vesicles on the head, right lower leg, and two hands. The infant has a 7-month history of atopic dermatitis and his condition was initially regarded as a complication of atopic dermatitis and bacterial infection. Read More

Am J Crit Care 2016 07;25(4):379-82

Christina L. Tupe is a clinical instructor, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland. Bethany A. Weiler is a pulmonary critical care fellow and Avelino C. Verceles is an assistant professor, Division of Pulmonary, Critical Care and Sleep Medicine, University of Maryland School of Medicine. Michael T. McCurdy is an assistant professor, Department of Emergency Medicine and Critical Care, University of Maryland School of Medicine.

A 62-year-old woman treated with several courses of corticosteroids for an undifferentiated rash came to the emergency department with progressively worsening cutaneous signs and symptoms and generalized weakness. She had scabies, and despite treatment continued to decompensate. Repeat skin biopsies revealed disseminated herpes simplex virus infection, and results of blood cultures were consistent with infection by methicillin-resistant Staphylococcus aureus. Read More

JAAD Case Rep 2016 May 25;2(3):209-11. Epub 2016 May 25.

Department of Dermatology, University Hospital, Brest, France.

Actas Dermosifiliogr 2017 Jan - Feb;108(1):68. Epub 2016 Mar 19.

Unidad de Gestión Clínica de Dermatología Médico-Quirúrgica y Venereología, Hospital Universitario Virgen de las Nieves, Granada, España.