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Contributor

Bernard Cohen, MD

Diagnosis

Herpes simplex virus infection whitlow

Body Site

foot toe

Age

4 years

Pigmentation

light

Organization

grouped, clustered

Color

red yellow

Morphology

edema

Pattern

asymmetric

Comments

This healthy 4-year-old girl developed a nontender swollen red toe with clustered vesicles and pustules. Viral culture was positive for Herpes simplex virus. She was treated with parenteral acyclovir for 2 days and completed a 7 day course orally. The lesions improved within a week with decreased edema and erythematous. The vesicles and crusts dried and peeled.

Description

swollen red toe with clustered discrete and confluent uniform 3 mm vesicles and pustules with some crusting and erythema streaking over the top of the foot

Categories

infections and infestations vesiculobullous eruptions

Image Added

1/18/2009 19:58:11

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Other Resources

PubMed Medline Plus Medscape

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