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Atypical Presentations of Herpes Simplex, Herpes Zoster, and Molluscum Contagiosum

Jeffrey M. Weinberg, MD; CPT Angela Mysliwiec, MC; MAJ George W. Turiansky, MC; Robert Redfield, MD; William D. James, MD

Arch Dermatol. 1997;133(8):983-986.

Abstract
Background
Viral folliculitis is an infrequently reported entity. The patients described herein were seen over a 12-year period of practice in a referral dermatologic setting. The cases involve a variety of viral infections limited to the hair follicle.

Observations
We describe 5 patients with a variety of viral folliculitides: 2 with herpetic sycosis caused by herpes simplex; 1 with herpex simplex folliculitis (this patient also had human immunodeficiency virus); 1 with herpes zoster without blisters; and 1 with molluscum contagiosum.

Conclusions
These 5 cases demonstrate that viral folliculitis has varied causes and presentations. Clinicians should consider viral agents in the differential diagnosis of superficial infectious folliculitis, especially in cases that are refractory to antibacterial or antifungal therapy.

Arch Dermatol. 1997;133:983-986

Author Affiliations
USA; USA

From the Department of Dermatology, University of Pennsylvania School of Medicine, Philadelphia (Drs Weinberg and James); the Department of Medicine, Tripler Army Medical Center, Honolulu, Hawaii (Dr Mysliwiec); the Dermatology Service, Walter Reed Army Medical Center, Washington, DC (Dr Turiansky); and the Institute of Virology, University of Maryland, Baltimore, Md (Dr Redfield).

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