The complexity of HHD can be compounded by superimposed eczema herpeticum (EH) or Kaposi's varicelliform eruption, which is caused by a viral infection occurring in preexistent cutaneous conditions. We present a unique clinical presentation of HHD with superimposed EH caused by herpes simplex virus type 2 (HSV-2) infection managed in a burn unit. It is highly advised that a recalcitrant HHD with superimposed EH caused by HSV-2 infection should be managed in burn centers that offer multimodalities for prompt, rigorous management. Early diagnosis and treatment are highly suggested for EH to avoid fatal complications.
Copyright © 2019, Chin et al.
Chin AGM1, Asif M2, Hultman C3, Caffrey J2.
Author information
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1 General Surgery, St. John's Episcopal Hospital, Far Rockaway, USA.
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2 Surgery, Burn Center, The Johns Hopkins University School of Medicine, Baltimore, USA.
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3 Plastic Surgery, The Johns Hopkins University School of Medicine, Baltimore, USA.
- PMID: 31777694
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PMCID: PMC6853267
DOI: 10.7759/cureus.5907
Abstract
Familial benign pemphigus, or Hailey-Hailey disease (HHD), is a rare (1 in 50,000), benign, autosomal dominant cutaneous disorder that causes a painful rash and blistering commonly occurring in the intertriginous folds. Despite having a good prognosis, there is no cure for HHD and the disease can be quite debilitating to the quality of life.