Eczema herpeticum - 疱疹性濕疹
relevance score : -100.0%
ReferencesEczema herpeticum (EH) 是由單純皰疹病毒在異位性皮膚炎患者中引起的廣泛皮膚感染。它通常突發，於濕疹常見部位出現水皰樣水皰、糜爛並隨後結痂。症狀可能包括發燒、淋巴結腫大或全身不適。健康成人的 EH 可能僅為輕度且短暫，但在兒童、嬰兒及免疫功能低下者中，病情可非常嚴重。儘早開始抗病毒治療有助於縮短輕症病程，並預防重症併發症。
Eczema herpeticum (EH) is a disseminated cutaneous infection with herpes simplex virus that develops in a patient with atopic dermatitis. EH typically presents as a sudden onset eruption of monomorphic vesicles and punched-out erosions with hemorrhagic crusts over eczematous areas. Patients may have systemic symptoms, such as fever, lymphadenopathy, or malaise. Presentation ranges from mild and self-limiting in healthy adults to life-threatening in children, infants, and immunocompromised patients. Early treatment with antiviral therapy can shorten the duration of mild disease and prevent morbidity and mortality in severe cases.
Eczema herpeticum (EH) is a disseminated cutaneous infection with herpes simplex virus that develops in a patient with atopic dermatitis. EH typically presents as a sudden onset eruption of monomorphic vesicles and punched-out erosions with hemorrhagic crusts over eczematous areas. Patients may have systemic symptoms, such as fever, lymphadenopathy, or malaise. Presentation ranges from mild and self-limiting in healthy adults to life-threatening in children, infants, and immunocompromised patients. Early treatment with antiviral therapy can shorten the duration of mild disease and prevent morbidity and mortality in severe cases.
一名 8 歲、患有異位性皮膚炎的女孩來院時，身上出現大面積發癢且凸起的紅色水泡，水泡中央有小凹痕。檢驗結果顯示她感染了第一型單純皰疹病毒。
An 8-year-old girl with atopic dermatitis came in with a widespread outbreak of itchy, raised, red blisters with a small indentation in the center. Tests showed she had herpes simplex virus type 1.
An 8-year-old girl with atopic dermatitis came in with a widespread outbreak of itchy, raised, red blisters with a small indentation in the center. Tests showed she had herpes simplex virus type 1.
這種感染性疾病表現為異位性皮膚炎上疊加大量水泡，常伴隨發燒和淋巴結腫大。疱疹性濕疹可能危及嬰兒的生命。
此情況最常見是由單純皰疹病毒引起，可使用全身性抗病毒藥物治療，例如阿昔洛韋。
○ 診斷與治療
誤診為濕疹皮損（異位性皮膚炎等）而使用類固醇軟膏，可能會加劇皮損。
#Acyclovir
#Fancyclovir
#Valacyclovir