Eczema herpeticum is also called vaccinatum.
Eczema is a skin rash marked by redness, irritation and sometimes blistering. The term atopic dermatitis is often interchangeably used for eczema.
In essence, vaccinatum is overlaid by infections. It might also emanate from a different disease such as lymphoma.
Vaccinatum is always preceded by an infection. The preceding infection could even be atopic dermatitis. When it is preceded by atopic dermatitis, it is called Kaposi varicelliform eruption.
Other names for this infection include: pustulosis varioliformis acute and Kaposi-Juliusberg dermatitis.
In general, eczema herpeticum is caused by herpex simplex virus type 1 or 2. It can also be caused by the vaccinia virus or coxsackievirus A16.
Visually, it looks like several vesicles that are disseminated over atopic dermatitis. The affected area might also have blistering and crusting patches.
Affected patients could also suffer from lymphadenopathy. Sometimes, the skin rash is accompanied by fever, thus making it potentially fatal in babies.
See your doctor if your baby develops this skin condition.
Also see your doctor, if you have asthma. People with a family history of asthma tend to be more vulnerable to atopic dermatitis.
Some people rely on home remedies for vaccinatum. This is a bad idea. If you identify the symptoms, please see your doctor.
Your doctor may prescribe corticosteroids. If the rash does not respond within a week, try out over-the-counter hydrocortisone creams.
See a doctor is the affected area develops pus-filled blisters or yellowish crusts. This usually indicates a bacterial infection. For such cases, stronger antibiotics are needed.
Rare Types of Eczema
People are more accustomed to atopic dermatitis. It is the most common form of the disorder.
People often think that seborrhoeic dermatitis is a rare form of this skin rash. While seborrhoeic dermatitis is less common than atopic dermatitis, it is not very uncommon.
The rare forms of this skin condition include: dyshidrosis, nummular e., stasis dermatitis, dermatitis herpetiformis, lichen simplex chronicus and autoeczematization.
Stasis dermatitis occurs in people with circulatory problems. People with varicose veins and edema are also more likely to develop this skin condition.
Stasis dermatitis is common in senior citizens. It usually affects old people in the ankle region. Sometimes, it may aggravate into leg ulcer.
The symptoms of stasis dermatitis include itching, scaling and darkening of the skin. In severe cases, the skin might become thickened and reddened.
Treatment of Eczema Herpeticum
The first line of treatment consists of distancing yourself from the potential causes of this skin disorder.
While the exact cause of dermatitis is unknown, dermatologists postulate that environmental factors play a causal role in the development of the skin disorder.
Hence, the first thing you need to do is maintain an impeccably clean environment.
Consider revamping your diet. There is no scientific proof that your nutrition plays a causative role in the skin disorder; however, eating healthy has never harmed anyone.
On the other hand, some people have an allergic reaction to certain foods. For example, some children get the skin condition after eating eggs. In such a case, the obvious thing to do is to eliminate eggs from your diet.
Often, environmental changes will not be enough to treat the skin condition.
The next move is to employ corticosteroids such as hydrocortisone. Hydrocortisone is effective for mild cases.
For severe cases, try clobetasol propionate. There are both oral and injectable forms of this corticosteroid.
Corticosteroids come with adverse side-effects. Do not use corticosteroids on delicate skin. Do not use corticosteroids for more than 4days. Long term use might result in skin atrophy, stria or telangiectasia.
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