Recurrent Disseminated Afebrile Herpes Simplex in an Atopic Patient Taking Steroids. Presented by Dr. Murray C. Zimmerman.
This 33-year-old white man has had generalized atopic dermatitis since childhood. He has cleared completely on small suppressive doses of hydrocortisone and other steroid hormones and now takes these only to control a flare. In 1952, he had pustular bacterial infections; in 1954, folliculitis barbae. In 1957, he developed a herpetic lesion on the lip, followed by a disseminated vesicular dermatitis of the face and neck; the Tzanck test was positive for herpes simplex. He had a second episode, almost identical, one year later. He developed his present dermatitis a few days ago, after shaving over a small herpes lesion on the anterior neck.
Most recently the patient has been taking methyl prednisolone, 1 mg. q.i.d. He was started today on triamcinolone, 1 mg. q.i.d., and boric acid com
Wolk E, Popper M, Zimmerman MC. THE METROPOLITAN DERMATOLOGICAL SOCIETY OF LOS ANGELES. AMA Arch Derm. 1959;80(4):490–493. doi:https://doi.org/10.1001/archderm.1959.01560220100022
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