BMJ Case Reports 2018; doi:10.1136/bcr-2018-224967
  • Images in…

Herpes simplex virus type 1: an atypical presentation of primary infection

  1. Maria Miguel Gomes1
  1. 1Paediatrics Department, Hospital de Braga, Braga, Portugal
  2. 2Dermatology Department, Hospital de Braga, Portugal
  1. Correspondence to Dr Inês Medeiros, inesdemedeiros{at}
  • Accepted 11 April 2018
  • Published 27 April 2018


A 3-year-old female child with personal history of atopic dermatitis presented with confluent vesicular and shallow ulcers pruritic rash surrounded by an erythematous base located to both hands and wrists, with 1-week evolution. She had no fever or other symptoms. There was no personal or family history of herpetic infections. Topical antibiotic, topical corticosteroid and oral antihistaminic were tried with no improvement. Physical examination was unremarkable except for generalised dry skin and lesions in figure 1. On suspicion of superinfected viral rash or bullous impetigo she was treated with oral …

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