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DermAtlas: FACE - viral infections, exanthem
© 2001-2009, DermAtlas
Image Name: herpetic_plague_3_090617   File Type: jpg
Diagnosis: VIRAL INFECTIONS, EXANTHEM /
HERPES SIMPLEX VIRUS INFECTION
  Category: infections and infestations
Body Site: face / cheek   Age: 64 years
Contributor: Hsiao Lily, MD    
Description: Nearly complete remission of the red, itchingp plaque 4 days later.
Comments: This 64- year-old man suffered from recurrent Herpes simplex labialis for 10 years. Vesicles over a red plaque accompanied by burning and itching developed on the right cheek 5 days ago. The Quick Tzanck test of material obained from the vesicles revealed balloon cells with thick nuclear and cytoplasmic membranes fusing to form multinucleate giant cells. The eruption cleared in 10 days with topical antibiotic ointment, topical steroid, and 5 days of oral valacyclovir. The Quick Tzanck Test, which incorporates a modified Giemas solution, was devised by Dr. Sino as a rapid screen for the diagnosis of Herpes simplex virus infection. Staining for cytology takes only 2 minutes.
Related Images: All related Images  herpetic_plague_2_090617  herpetic_plague_1_090617 

DermAtlas: Histology - viral infections, exanthem
© 2001-2009, DermAtlas
Image Name: herpetic_plague_2_090617   File Type: jpg
Diagnosis: VIRAL INFECTIONS, EXANTHEM /
HERPES SIMPLEX VIRUS INFECTION
  Category: infections and infestations /
dermatomal eruption
Body Site: face   Age: 64 years
Contributor: Hsiao Lily, MD    
Description: The Quick Tzanck test of material obained from the vesicles revealed balloon cells with thick nuclear and cytoplasmic membranes fusing to form multinucleate giant cells.
Comments: These changes are typical but not diagnostic of Herpes simplex virus infection.
Related Images: All related Images  herpetic_plague_1_090617  herpetic_plague_3_090617 

DermAtlas: HAND - Gianotti-Crosti syndrome
© 2001-2009, DermAtlas
Image Name: gianotti_crosti_1_090510   File Type: jpg
Diagnosis: GIANOTTI-CROSTI SYNDROME /
VIRAL INFECTIONS, EXANTHEM
  Category: infections and infestations /
reactive erythema
Body Site: hand / wrist   Age: 11 years
Contributor: Bernard Cohen, MD    
Description: symmetric scattered acral edematous 2-3 mm red papules
Comments: This healthy 11-year-old boy was evaluated for a minimally itchy diffuse papular eruption which was most dens on the extremities for 2 weeks. He had no systemic symptoms but did complain of diarrhea for 2 days before the eruption blossomed.
Related Images: All related Images  gianotti_crosti_3_090510  gianotti_crosti_2_090510 

DermAtlas: HAND - Gianotti-Crosti syndrome
© 2001-2009, DermAtlas
Image Name: gianotti_crosti_2_090510   File Type: jpg
Diagnosis: GIANOTTI-CROSTI SYNDROME /
VIRAL INFECTIONS, EXANTHEM
  Category: infections and infestations /
reactive erythema
Body Site: hand / knee
leg
  Age: 11 years
Contributor: Bernard Cohen, MD    
Description: symmetric scattered acral edematous 2-3 mm red papules
Comments: This healthy 11-year-old boy was evaluated for a minimally itchy diffuse papular eruption which was most dens on the extremities for 2 weeks. He had no systemic symptoms but did complain of diarrhea for 2 days before the eruption blossomed.
Related Images: All related Images  gianotti_crosti_3_090510  gianotti_crosti_1_090510 

DermAtlas: ARM - Gianotti-Crosti syndrome
© 2001-2009, DermAtlas
Image Name: gianotti_crosti_3_090510   File Type: jpg
Diagnosis: GIANOTTI-CROSTI SYNDROME /
VIRAL INFECTIONS, EXANTHEM
  Category: infections and infestations /
reactive erythema
Body Site: arm / wrist
elbow
  Age: 11 years
Contributor: Bernard Cohen, MD    
Description: symmetric scattered acral edematous 2-3 mm red papules
Comments: This healthy 11-year-old boy was evaluated for a minimally itchy diffuse papular eruption which was most dens on the extremities for 2 weeks. He had no systemic symptoms but did complain of diarrhea for 2 days before the eruption blossomed.
Related Images: All related Images  gianotti_crosti_2_090510  gianotti_crosti_1_090510 

DermAtlas: TOTAL BODY - chicken pox
© 2001-2009, DermAtlas
Image Name: Varicella_7_090304   File Type: jpg
Diagnosis: CHICKEN POX /
VIRAL INFECTIONS, EXANTHEM /
PURPURA FULMINANS /
DISSEMINATED INTRAVASCULAR COAGULATION
  Category: infections and infestations /
purpura
Body Site: total body / leg   Age: 9 months
Contributor: Mahmoud Hijazy, PH.D    
Description: resolving hemorrhagic vesicles and crusts and large areas of purpura and necrosis
Comments: This healthy 9-month-old girl with chicken pox developed purpura fulminans which is a rare complication of the usually benign childhood viral infection.
Related Images: All related Images  Varicella_1_090304  Varicella_2_090304  Varicella_3_090304  Varicella_4_090304  Varicella_5_090304  Varicella_6_090304 

DermAtlas: TOTAL BODY - chicken pox
© 2001-2009, DermAtlas
Image Name: Varicella_6_090304   File Type: jpg
Diagnosis: CHICKEN POX /
VIRAL INFECTIONS, EXANTHEM /
PURPURA FULMINANS /
DISSEMINATED INTRAVASCULAR COAGULATION
  Category: infections and infestations /
purpura
Body Site: total body / leg
foot
  Age: 9 months
Contributor: Mahmoud Hijazy, PH.D    
Description: resolving hemorrhagic vesicles and crusts and large areas of purpura and necrosis
Comments: This healthy 9-month-old girl with chicken pox developed purpura fulminans which is a rare complication of the usually benign childhood viral infection.
Related Images: All related Images  Varicella_1_090304  Varicella_2_090304  Varicella_3_090304  Varicella_4_090304  Varicella_5_090304  Varicella_7_090304 

DermAtlas: TOTAL BODY - chicken pox
© 2001-2009, DermAtlas
Image Name: Varicella_5_090304   File Type: jpg
Diagnosis: CHICKEN POX /
VIRAL INFECTIONS, EXANTHEM /
PURPURA FULMINANS /
DISSEMINATED INTRAVASCULAR COAGULATION
  Category: infections and infestations /
purpura
Body Site: total body / perineum / trunk   Age: 9 months
Contributor: Mahmoud Hijazy, PH.D    
Description: resolving hemorrhagic vesicles and crusts and large areas of purpura and necrosis
Comments: This healthy 9-month-old girl with chicken pox developed purpura fulminans which is a rare complication of the usually benign childhood viral infection.
Related Images: All related Images  Varicella_1_090304  Varicella_2_090304  Varicella_3_090304  Varicella_4_090304  Varicella_6_090304  Varicella_7_090304 

DermAtlas: TOTAL BODY - chicken pox
© 2001-2009, DermAtlas
Image Name: Varicella_4_090304   File Type: jpg
Diagnosis: CHICKEN POX /
VIRAL INFECTIONS, EXANTHEM /
PURPURA FULMINANS /
DISSEMINATED INTRAVASCULAR COAGULATION
  Category: infections and infestations /
purpura
Body Site: total body / perineum / trunk   Age: 9 months
Contributor: Mahmoud Hijazy, PH.D    
Description: resolving hemorrhagic vesicles and crusts and large areas of purpura and necrosis
Comments: This healthy 9-month-old girl with chicken pox developed purpura fulminans which is a rare complication of the usually benign childhood viral infection.
Related Images: All related Images  Varicella_1_090304  Varicella_2_090304  Varicella_3_090304  Varicella_5_090304  Varicella_6_090304  Varicella_7_090304 

DermAtlas: TOTAL BODY - chicken pox
© 2001-2009, DermAtlas
Image Name: Varicella_3_090304   File Type: jpg
Diagnosis: CHICKEN POX /
VIRAL INFECTIONS, EXANTHEM /
PURPURA FULMINANS /
DISSEMINATED INTRAVASCULAR COAGULATION
  Category: infections and infestations /
purpura
Body Site: total body / face   Age: 9 months
Contributor: Mahmoud Hijazy, PH.D    
Description: resolving hemorrhagic vesicles and crusts and large areas of purpura and necrosis
Comments: This healthy 9-month-old girl with chicken pox developed purpura fulminans which is a rare complication of the usually benign childhood viral infection.
Related Images: All related Images  Varicella_1_090304  Varicella_2_090304  Varicella_4_090304  Varicella_5_090304  Varicella_6_090304  Varicella_7_090304 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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