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April 1973

Photolocalized Varicella

Arch Dermatol. 1973;107(4):628. doi:10.1001/archderm.1973.01620190092026

To the Editor.—  The phenomenon of photosensitivity associated with infectious diseases has been recognized for many years. A case of photolocalization of varicella is presented.

Report of a Case  The patient is a 2-year-old girl who was initially seen in April 1968 for a peculiar pustular eruption of her neck and arms. The eruption had developed over the preceding 24 hours and was limited to the areas where she had sustained a mild sunburn three days earlier. Within the succeeding 24 hours, the pustular eruption had spread to involve nonsunexposed areas and was generalized.At the time of the initial examination, discrete pustules on an erythematous base were scattered over this girl's neck and arms and were sharply limited to the tanned areas (Figure). On follow-up 24 hours later, she had generalized pustular eruption in all stages of evolution. The eruption as it was fully manifest was typical

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