Herpes Simplex Virus Infection - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

Herpes simplex virus infection

Body Site

hand palm

Age

4 years

Pigmentation

light

Organization

grouped, clustered

Color

white/hypo

Morphology

vesiculobullous (blister, pustule)

Pattern

asymmetric

Comments

A 4 year old boy had a history of recurrent vesicles and pustules on the left palm. Lesions appeared every 4-6 months and cleared over 7-10 days. Bacterial cultures were negative on several occasions. A Tzanck smear demonstrated multinucleated giant cells consistent with Herpes simplex virus infection. He was begun of a trial of oral acyclovir starting at the onset of recurrent infections.

Description

clustered 2-3 mm pustules

Image Added

12/23/2002 23:35:23

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Other Resources

PubMed Medline Plus Medscape

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