Kaposi's varicella-like rash
Introduction
Introduction to Kaposi varicella-like rash The disease is caused by eczema, atopic dermatitis or other skin diseases, a skin disease caused by herpes simplex virus, and clinical manifestations of sudden occurrence of umbilical follicles in the lesion area, accompanied by It is characterized by systemic symptoms. basic knowledge The proportion of illness: 0.0025% Susceptible people: more common in infants under 3 years old Mode of infection: contact spread Complications: pharyngitis tonsillitis otitis media conjunctivitis keratitis bronchitis pneumonia
Cause
Kaposi varicella-like rash
(1) Causes of the disease
This disease is a skin disease caused by infection with herpes simplex virus on the basis of eczema, atopic dermatitis or other skin diseases.
(two) pathogenesis
Clinical manifestations of sudden onset of umbilical follicles in the lesion area are characterized by systemic symptoms.
Prevention
Kaposi varicella-like rash prevention
1. Children with inflammatory skin diseases such as atopic dermatitis should avoid contact with herpes simplex patients.
2. Isolation immediately after onset to avoid infecting others, and disinfecting (boiling or exposing) their utensils and clothing.
3. Children should plan immunization and vaccination in due course.
4. Actively search for incentives to eliminate pathogenic factors in a timely manner.
Complication
Kaposi varicella-like rash complications Complications pharyngitis tonsillitis otitis media conjunctivitis keratitis bronchitis pneumonia
Complications include pharyngitis, tonsillitis, otitis media, conjunctivitis, keratitis, bronchitis, pneumonia or other secondary infections.
Symptom
Kaposi varicella-like rash symptoms common symptoms herpes nausea nausea and vomiting drowsiness blush forehead acne pustules
The incubation period is 5 to 9 days. It is more common in infants and young children under 3 years old. It can also be seen in adults. Sudden high fever, general malaise, nausea, vomiting, lethargy and other symptoms of poisoning. The next day is rash, often from the original lesion area. At the beginning, it affects the surrounding skin, even for systemic, and there are a few people who are seen in normal skin. It shows that the original eczema damages the swelling, and there are scattered or dense blisters and pustules on the top, and there are umbilical fossa in the center of the blister. Redness around the base, after 2 to 3 days, the damage can be merged into a piece, but there is still a typical rash in the vicinity. In 5 to 10 days, the rash appears in batches. After 8 to 14 days, the rash gradually dry and crusted, leaving pigmentation and shallow Visible scars, systemic symptoms also disappeared.
Examine
Kaposi varicella-like rash
1. Virus culture separation.
2. Cytological examination.
3. Histopathological examination: Guarnieri corpuscle (vaccinia inclusion body) is present in the basal cell cell.
Diagnosis
Kaposi varicella-like rash diagnosis and identification
diagnosis
According to the inflammatory skin disease, most of the umbilical follicles and pustules are sudden, and there is a history of contact with the cold sore, accompanied by systemic symptoms. The diagnosis can be established.
Differential diagnosis
The disease needs to be differentiated from vaccinia eczema. The two diseases are not easy to distinguish clinically, but the latter has a history of vaccination or exposure to vaccinia. Histopathological examination has Guarnieri corpuscle (vaccinia inclusion body) in the basal cell cytoplasm.
