November 2015 PEM Pearl

What is the likeliest diagnosis in this 6 month old?


A) Impetigo


B) Staphylococcal Scalded Skin Syndrome


C) Superinfected Varicella


D) Eczema Herpeticum


E) Measles






The correct answer for November’s PEM Pearl is D. The first correct response came from Tracey Stephenson. The grouped umbilicated vesicles in areas of eczema indicate eczema herpeticum. The clinician must make an early diagnosis and treat with systemic acyclovir to prevent eye involvement.


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