Woman with a Painful Rash
Case presentation: A 21-year-old woman with a history of eczema presented to the emergency department with a painful rash over the previous three days spreading from her left axilla to her left arm, left chest and left abdominal wall. The rash consisted of clusters of small, erythematous vesicles on...
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2025-01-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/52n5g288 |
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| _version_ | 1832540633995149312 |
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| author | Leyan Shalabi Wesley Eilbert |
| author_facet | Leyan Shalabi Wesley Eilbert |
| author_sort | Leyan Shalabi |
| collection | DOAJ |
| description | Case presentation: A 21-year-old woman with a history of eczema presented to the emergency department with a painful rash over the previous three days spreading from her left axilla to her left arm, left chest and left abdominal wall. The rash consisted of clusters of small, erythematous vesicles on hyperpigmented patches of skin. The patient was treated empirically with intravenous acyclovir for eczema herpeticum with improvement. Polymerase chain reaction testing of the fluid obtained from the rash vesicles later confirmed the presence of herpes simplex virus-1. Discussion: Eczema herpeticum is a cutaneous superinfection with herpes simplex virus on pre-existing sites of eczema. Left untreated, it can have a mortality rate over 50%. Early identification and treatment of this high morbidity condition with antiviral agents is key to improving outcome. |
| format | Article |
| id | doaj-art-d6ae6cfd768049a19c9b4f27690b1bac |
| institution | Kabale University |
| issn | 2474-252X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj-art-d6ae6cfd768049a19c9b4f27690b1bac2025-02-04T17:35:18ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2025-01-019110710810.5811/cpcem.20735cpcem-9-107Woman with a Painful RashLeyan Shalabi0Wesley Eilbert1University of Illinois at Chicago, College of Medicine, Department of Emergency Medicine, Chicago, IllinoisUniversity of Illinois at Chicago, College of Medicine, Department of Emergency Medicine, Chicago, IllinoisCase presentation: A 21-year-old woman with a history of eczema presented to the emergency department with a painful rash over the previous three days spreading from her left axilla to her left arm, left chest and left abdominal wall. The rash consisted of clusters of small, erythematous vesicles on hyperpigmented patches of skin. The patient was treated empirically with intravenous acyclovir for eczema herpeticum with improvement. Polymerase chain reaction testing of the fluid obtained from the rash vesicles later confirmed the presence of herpes simplex virus-1. Discussion: Eczema herpeticum is a cutaneous superinfection with herpes simplex virus on pre-existing sites of eczema. Left untreated, it can have a mortality rate over 50%. Early identification and treatment of this high morbidity condition with antiviral agents is key to improving outcome.https://escholarship.org/uc/item/52n5g288 |
| spellingShingle | Leyan Shalabi Wesley Eilbert Woman with a Painful Rash Clinical Practice and Cases in Emergency Medicine |
| title | Woman with a Painful Rash |
| title_full | Woman with a Painful Rash |
| title_fullStr | Woman with a Painful Rash |
| title_full_unstemmed | Woman with a Painful Rash |
| title_short | Woman with a Painful Rash |
| title_sort | woman with a painful rash |
| url | https://escholarship.org/uc/item/52n5g288 |
| work_keys_str_mv | AT leyanshalabi womanwithapainfulrash AT wesleyeilbert womanwithapainfulrash |