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David P. Fivenson, MD; Debra L. Breneman, MD

Arch Dermatol. 1989;125(11):1571-1572.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A 32-year-old woman was referred for evaluation of a rapidly progressive, tender, crusted eruption of the face and upper trunk of 5 days' duration. She had a history of atopic dermatitis and was treated for 3 days prior to referral with prednisone (10 mg/d orally) for possible contact dermatitis. The lesions began periorbitally and spread rapidly over the face and upper trunk despite the systemic steroid treatment.

The patient described a similar eruption occurring twice as a child; once at age 8 years after being in a swimming pool near other children who had recently been vaccinated against smallpox, and a second time at age 12 years after she was vaccinated against smallpox. Both outbreaks were limited to the arms.

On physical examination, she was afebrile and had a widespread eruption of crusted and umbilicated papules and vesicles on erythematous bases over the entire face, anterior . . . [Full Text PDF of this Article]

Author Affiliations
University of Cincinnati (Ohio) College of Medicine

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