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| Fig. 25.2 A, Herpetic whitlow. B, Eczema herpeticum (Kaposi’s varicelliform eruption) in a patient with atopic dermatitis. (Panel A courtesy of the Walter Reed Army Medical Center teaching files; panel B courtesy of Scott D. Bennion, MD.) |
HSV infection may involve and recur at any location on the mucocutaneous surface. HSV infection of the hand or fingers, known as herpetic whitlow, is usually the result of autoinoculation from another site of infection (Fig. 25-2A). Herpes gladiatorum is a problem most commonly seen in athletes who participate in close contact sports such as wrestling. Typically transmitted from active herpes labialis or asymptomatic shedding in oral secretions of an infected opponent, herpes gladiatorum often affects the head, neck, or shoulders. Eczema herpeticum, also known as Kaposi’s varicelliform eruption, represents a cutaneous dissemination of HSV (Fig. 25-2B). It may develop as a complication of a localized HSV infection in patients with atopic dermatitis or other underlying skin disease.
