DOI: https://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20222731
Published: 2022-10-27

Kaposi`s varicelliform eruption in a case of pustular psoriasis

Naveen Netaji Rao, Sharanjit Singh Toor

Abstract


Kaposi`s varicelliform eruption (KVE) is a disseminated cutaneous infection with herpesvirus type 1 or 2, vaccinia virus, or coxsackievirus A16 in a patient with another underlying dermatosis. When herpesvirus type 1 or 2 is the pathogenic virus, the term ‘‘eczema herpeticum’’ (EH) is used, independent of the underlying dermatologic diagnosis that preceded the eruption. Presenting a case of generalised pustular psoriasis who while on immunosuppressant therapy cyclosporine developed KVE on the 3rd week of therapy. Based on the nature of cutaneous eruption and the bed side Tzanck smear test he was diagnosed as Psoriasis herpeticum. He was treated with oral acyclovir for 15 days with complete resolution of the lesions. KVE rarely occurs in psoriasis. It is more often in those patients who are on immunosuppressant therapy like oral methotrexate, cyclosporine etc. A high index of suspicion is needed while managing skin eruptions in a known case of psoriasis.


Keywords


KVE, Pustular psoriasis, Acyclovir

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References


Wollenberg A, Zoch C, Wetzel S, Plewig G, Przybilla B. Predisposing factors and clinical features of eczema herpeticum: A retrospective analysis of 100 cases. J Am Acad Dermatol 2003;19:198-205.

Santmyire-Rosenberger BR, Nigra TP. Psoriasis herpeticum: Three cases of Kaposi’s varicelliform eruption in psoriasis. J Am Acad Dermatol 2005;53:52-6.

Garg G, Thami GP. Psoriasis herpeticum due to Varicella zoster virus: a Kaposi's varicelliform eruption in erythrodermic psoriasis. Indian J Dermatol. 2012;57(3):213-4.

Kimberlin DW, Rouse DJ. Clinical practice: genital herpes. N Eng J Med. 2004;350(19):1970-7.

Saraswat A, Ratho RK, Kumar B. Two unusual cases of Kaposi’s varicelliform eruption. Acta Derm Venereol 2002;82:138-9.

Goodyear HM, Davies JA, McLeish P, Buchan A, Skinner GR, Winther M et al. Growth of herpes simplex type 1 on skin explants of atopic eczema. Clin Exp Dermatol. 1996;21:185-9.

Marcus B, Lipozencic J, Matz H, Orion E, Wolf R. Herpes simplex: Auto inoculation versus dissemination. Acta Dermatovenerol Croat. 2005;13:237-41.

Yaeen A, Ahmad QM, Farhana A, Shah P, Hassan I. Diagnostic value of Tzanck smear in various erosive, vesicular, and bullous skin lesions. Indian Dermatol Online J. 2015;6:381-6.