Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Treatment

…includes the treatment of the acute eruption and therapy for herpetic neuralgia and post-herpetic neuralgia. Confirmation of herpes zoster by viral direct fluorescence assay (DFA) is recommended in most cases, especially in disseminated cases or cas…

Therapeutic Strategies in Dermatology

Herpes Simplex: Initial Evaluation

…of herpes are usually caused by herpes simplex type II. Herpetic whitlow may occur when digits are exposed to herpetic lesions. Eczema herpeticum, superinfection of atopic dermatitis with HSV, is common and can be difficult to distinguish fr…

Therapeutic Strategies in Dermatology

Erythema Multiforme: Clinical Cases

…s rendered Since it has been several days since her orolabial herpetic flare, no antiviral therapy is given; the patient is counseled that if she develops frequent HSV recurrences with EM minor, she should return to the clinic for consideration of vi…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: References

…tment on acute phase of herpes zoster and development of post herpetic neuralgia: review of international publications, Med et Mal infectieuses (English), 42:53-58. Chen N, Li Q, Zhang Y, Zhou M, Zhou D, He L (2011) Vaccination for preventing posther…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Key Points

…stribution. A potential complication of herpes zoster is post-herpetic neuralgia (PHN), the development of persistent pain and/or dysesthesia at the sites previously affected by herpes zoster. There is limited evidence to support a definitive interve…

Therapeutic Strategies in Dermatology

Herpes Simplex: Key Points

…xisting skin disease (usually atopic dermatitis, e.g., eczema herpeticum). Acyclovir is almost always the first-line treatment given to individuals with healthy immune systems; in immunosuppressed individuals (especially HIV-infected persons), acyclo…

Therapeutic Strategies in Dermatology

Herpes Simplex: Clinical Cases

…e; also counsel for avoiding contact with family members with herpetic lesions when skin is inflamed Case 3 33-year-old man with a 7-year history of painful, recurrent clustered blisters in the same location on his lower lip, occurring 1-2X year…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Clinical Cases

…l any organisms Viral culture is notable for HSV-1 Diagnosis: herpetic folliculitis The patient is notified; patient reports that he has not improved on the doxycycline regimen; doxycycline is discontinued and valcyclovir is started (lesions resolve)…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Treatment

…agnosis of folliculitis: frictional, gram-negative bacterial, herpetic, or Pityrosporum folliculitis. Appropriate microbiologic cultures are indicated if the folliculitis is not responding to standard antibacterial therapy. Relapses are common owing…

Therapeutic Strategies in Dermatology

Darier’s Disease: Treatment

…are often precipitated by secondary bacterial (most common), herpetic superinfection, and candidal infections owing both to a defective skin barrier and to minor immunologic dysfunction in this disease. Hence, therapy often includes an initial 10- t…