Eczema herpeticum - 疱疹性濕疹
References
Eczema herpeticum (EH) 是一種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。它通常突然出現，在濕疹易發區域出現水皰樣水皰和糜爛並結痂。症狀可能包括發燒、淋巴結腫大或感覺不適。健康成人的 EH 可能是輕度和暫時性的，也可能是非常嚴重的，尤其是兒童、嬰兒和免疫系統較弱的人。儘早開始抗病毒治療有助於縮短輕症病例的時間並預防重症病例的併發症。
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.
一名患有異位性皮膚炎的 8 歲女孩來院時，身上出現大面積發癢、凸起的紅色水泡，中間有一個小凹痕。檢驗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。它常伴隨發燒和淋巴結腫大。皰疹性濕疹可能危及嬰兒的生命。
這種情況最常見是由單純皰疹病毒引起的。可以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）而應用類固醇軟膏可能會加劇皮損。
#Acyclovir
#Fancyclovir
#Valacyclovir