A corneal dendritic lesion with a skin eruption: eczema herpeticum, an important differential diagnosis. (30th January 2015)

• Record Type: Journal Article
• Authors: Steptoe, Alex; Young-Zvandasara, Tafadzwa; Muhtaseb, Mohammed
• Is Part Of: BMJ case reports. Volume 2015
• Publication Date: 2015-01-30
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-208438
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Eczema herpeticum is a rare and potentially life-threatening viral infection. We present the case of a 54-year-old man who presented to the emergency eye clinic with a dendritic ulcer and a facial rash. An initial diagnosis of herpes zoster ophthalmicus was suspected. On follow-up, the rash had begun to rapidly disseminate and was no longer respecting dermatome boundaries. A diagnosis of eczema herpeticum was made and appropriate treatment started. This case highlights the importance of a comprehensive history and close inspection of skin lesions in patients with herpetic eye disease.