A Clinical Atlas of 101 Common Skin Diseases

Herpes Simplex, Zoster, and Varicella

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Conditions caused by infection with different strains of herpesvirus and typified when fully developed by tense vesicles, herpes simplex consisting of grouped vesicles on an erythematous base, zoster being made up of vesicles, sometimes hemorrhagic ones, that course along a dermatome of an adult usually, and varicella being characterized by widespread discrete vesicles in children as a rule.

A Clinical Atlas of 101 Common Skin Diseases

Herpes Simplex, Zoster, and Varicella

Conditions caused by infection with different strains of herpesvirus and typified when fully developed by tense vesicles, herpes simplex consisting of grouped vesicles on an erythematous base, zoster being made up of vesicles, sometimes hemorrhagic…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella

Conditions caused by infection with different strains of herpesvirus and typified when fully developed by tense vesicles, herpes simplex consisting of grouped vesicles on an erythematous base, zoster being made up of vesicles, sometimes hemorrhagic…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Treatment

…her immunosuppressed persons. Staff without a prior history of varicella or varicella immunization should not enter their rooms. Since the risk of dissemination is enhanced by steroid therapy in the immunosuppressed, steroid therapy is relatively con…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Key Points

Key Points Primary varicella infection (chickenpox) and herpes zoster are both caused by varicella zoster virus (VZV). Herpes zoster (shingles) represents activation of varicella zoster virus from cranial or dorsal root ganglion, thus affecting th…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Clinical Cases

Clinical Cases Case 1 68-year-old healthy male No significant past medical history (normal renal function) Review of systems is noncontributory History of primary varicella infection as child No sick contacts Presents for management of 3 days…

Therapeutic Strategies in Dermatology

Viral Exanthems: Clinical Cases

…rodrome symptoms one week prior No history of immunization for varicella virus Initial evaluation Clinical presentation is typical for primary varicella infection Recommend colloidal oatmeal baths daily with topical emollients and mentholated emoll…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: References

References Bruxelle J, Pinchinat S (2012) Effectiveness of antiviral treatment 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…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Initial Evaluation

Initial Evaluation Herpes zoster (shingles) Note that vesicles and papulovesicular lesions are grouped with an erythematous to hemorrhagic base. Primary varicella infection Differential diagnosis Herpes simplex virus (o…

Therapeutic Strategies in Dermatology

Viral Exanthems: Key Points

Key Points Viral exanthems are usually asymptomatic and self-limited, and therapy usually is not required. Recognition of the viral etiology is mostly indicated for counseling patients regarding the course of the infection and regarding contact pre…

Therapeutic Strategies in Dermatology

Viral Exanthems: Initial Evaluation

Initial Evaluation Patients with a viral exanthem often present with a non-specific morbilliform eruption. In some cases, the skin disease as part of a constellation of other symptoms may indicate a specific viral etiology. Measles German m…