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September 1994

Kaposi's Varicelliform Eruption With Ocular Involvement

Author Affiliations

Department of Dermatology Hospital Princeps d'Espanya Universitat de Barcelona Feixa Llarga, S/N Hospitalet 08907 Barcelona, Spain

Arch Dermatol. 1994;130(9):1209-1210. doi:10.1001/archderm.1994.01690090143028

Kaposi's varicelliform eruption (KVE) is a widespread viral infection complicating preexisting skin disorders such as atopic dermatitis or Darier's disease. Although eczema herpeticum commonly involves the eyelids, ocular pathology is rare.1,2

Darier's disease is an inherited disorder of keratinization usually presenting as keratotic papules involving the seborrheic areas of the body. We describe a patient with Darier's disease in whom generalized cutaneous herpes simplex virus (HSV) infection developed with bilateral herpetic keratitis.

Report of a Case.  A 18-year-old white boy had a 6-year history of Darier's disease affecting the seborrheic areas of his face and the hands. He had mild disease and required no treatment. Two days before admission, fever, photophobia, and a painful erythematous eruption developed on his face. The eruption rapidly progressed and involved the trunk and the proximal aspect of the arms. Both parents reported a history of recurrent oral herpes simplex.Physical examination revealed a

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