Eczema herpeticum
Sist oppdatert: Sist revidert:
Sist revidert av:Terje Johannessen
Definisjon:
Eczema herpeticum er en infeksjon med herpesvirus (HSV) i en hud der det foreligger atopisk dermatitt
Forekomst:
Sjelden tilstand
Symptomer:
Utslettet begynner som kuppelformede vesikler, som etter hvert forsvinner og blir til utstansede kloremerker, kruster og erymatøse plakk
Funn:
Alvorlighetsgraden varierer fra milde utbrudd til betydelige utbrudd
Diagnostikk:
Tilleggsundersøkelser kan være påvisning av HSV i utbrudd, ev. bakteriologisk undersøkelse
Behandling:
Hovedbehandlingen er systemisk antiviral behandling
- Mackool BT, Goverman J, Nazarian RM. Case records of the Massachusetts General Hospital. Case 14-2012. A 43-year-old woman with fever and a generalized rash. N Engl J Med 2012; 366:1825. New England Journal of Medicine
- Robles DT. Kaposi varicelliform eruption. Medscape, last updated Dec 13, 2017. emedicine.medscape.com
- Micali G, Lacarrubba F. Eczema Herpeticum. N Engl J Med 2017; 377: e9. doi:10.1056/NEJMicm1701668 DOI
- Fenner J, Silverberg NB. Skin diseases associated with atopic dermatitis. Clin Dermatol 2018; 36: 631-40. pmid:30217275 PubMed
- Seegräber M, Worm M, Werfel T, et al. Recurrent eczema herpeticum - a retrospective European multicenter study evaluating the clinical characteristics of eczema herpeticum cases in atopic dermatitis patients. J Eur Acad Dermatol Venereol 2020; 34: 1074-79. pmid:31733162 PubMed
- Harindra V, Paffett MC. Recurrent eczema herpeticum: an underrecognised condition. Sex Transm Infect 2001; 77: 76. PubMed
- Wollenberg A, Wetzel S, Burgdorf WH, Haas J. Viral infections in atopic dermatitis: pathogenic aspects and clinical management. J Allergy Clin Immunol 2003; 112:667. PubMed
- Wollenberg A, Zoch C, Wetzel S, Plewig G, Przybilla B. Predisposing factors and clinical features of eczema herpeticum—a retrospective analysis of 100 cases. J Amer Acad Dermatol 2003; 49: 198-205. PubMed
- Traidl S, Roesner L, Zeitvogel J, Werfel T. Eczema herpeticum in atopic dermatitis. Allergy. 2021 Oct;76(10):3017-3027. Epub 2021 May 3. PMID: 33844308 PubMed
- Brook I. Secondary bacterial infections complicating skin lesions. J Med Microbiol 2002; 51: 808-12. PubMed
- Wollenberg A, Wetzel S, Burgdorf W, Haas J. Viral infections in atopic dermatitis: Pathogenic aspects and clinical management. J Allergy Clin Immunol 2003; 112: 667-74. PubMed
- Nikkels AF, Pièrard GE. Treatment of mucocutaneous presentations of herpes simplex virus infections. Am J Clin Dermatol 2002; 3:475. PubMed
- Terje Johannessen, professor i allmennmedisin, Trondheim