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Herpes simplex virus type 1: an atypical presentation of primary infection
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  1. Inês Medeiros1,
  2. Cristiana Maximiano1,
  3. Teresa Pereira2,
  4. 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}hotmail.com

https://doi.org/10.1136/bcr-2018-224967

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    Description 

    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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    Footnotes

    • Contributors IM collected the data, wrote the manuscript and reviewed the literature. CM collected the data and reviewed the literature. TP and MMG did the critical review of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.