PMC6442073_01
A child with atopic dermatitis complicated by eczema herpeticum on the anterior chest, neck, and face. Characteristic monomorphic punched-out lesions coalescing into areas of denudation.
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PMC6442073_01_10.1177_2333794X19838526-fig1.jpg
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She had diffuse crusted papules over a previously affected area of AD to her anterior neck, upper anterior trunk, and face (Figure 1).
Dramatically cleared eczema herpeticum with denuded skin on arms and neck after initial 7 days of intravenous acyclovir followed by 10 days of daily prophylactic oral acyclovir. Characteristic healing pink and hypopigmented macules have replaced previous erosions.
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PMC6442073_01_10.1177_2333794X19838526-fig2.jpg
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Parents were advised to continue topical acyclovir 5% ointment, but instructed to apply twice daily only to the denuded skin areas and continue topical triamcinolone ointment on arms and legs twice daily. (Figure 2).