Search Results for: vesicle

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Therapeutic Strategies in Dermatology

Varicella & Herpes Zoster: Key Points

…d internal organs, most commonly the central nervous system. The hallmark lesion of primary varicella and herpes zoster is a vesicle or pustule on an erythematous base. In zoster, multiple lesions are grouped and/or present within a dermatomal…

Therapeutic Strategies in Dermatology

Varicella & Herpes Zoster: Treatment

…m symptom onset should be considered in patients over 50 (due to increased risk for post-herpetic neuralgia), those with new vesicle formation, concern for cutaneous or visceral dissemination, acute pain, or ocular involvement. Immunocompetent…

Therapeutic Strategies in Dermatology

Varicella & Herpes Zoster: Initial Evaluation

…al culture (least sensitive but highly specific), direct fluorescent antibody testing, or PCR from a swab from the base of a vesicle. A Tzanck preparation can provide a rapid result (demonstrating the classic multinucleate giant cells), however, is…

A Clinical Atlas of 101 Common Skin Diseases

Herpes Simplex, Zoster, and Varicella

…h 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…

Therapeutic Strategies in Dermatology

Viral Exanthems: Clinical Cases

…ly be confirmed by a negative VZV IgG). Confirmatory testing could include direct fluorescent antibody (DFA) or VZV PCR from vesicle fluid, or histopathology Given the elevated risk of complications (particularly VZV pneumonitis), recommend close…

A Clinical Atlas of 101 Common Skin Diseases

Fixed Drug Eruption

Circular orange-red-blue macule(s) or patch(es) that often becomes a papule(s) or plaque(s) and vesiculates, healing with hyperpigmentation, and that occurs repeatedly at the very same cutaneous and/or mucous membrane site(s), especially the…

Histologic Diagnosis of Inflammatory Skin Diseases

Arthropod assaults

…res differentiating: Insect “bites” differ clinically from Grover’s disease by the presence often of papulovesicles and vesicles, and of hemorrhagic crusts. Denominators in common: Yellow-brown, smooth-surfaced papules Features…

Histologic Diagnosis of Inflammatory Skin Diseases

Images

…sociated invariably with epidermal necrosis. A normal cornified layer with its basket-weave configuration indicates that the vesicle is only of a few days” duration. Although at first glance the vesicle seems to be entirely intraepidermal,…

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