Pediatric emergency medicine trisk 1375 1375
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spread and later evolve into monomorphic (all similar appearing) punchedout erosions ( Fig. 70.15 ). These cutaneous findings characteristically occur
at anatomic sites where the primary skin disease is either present or has
previously been located, and help to differentiate KVE from a primary (firstepisode) viral HSV or enteroviral outbreak.
TABLE 70.2
KAPOSI VARICELLIFORM ERUPTION
Phenomenon
Primary skin disease
Secondary infecting
virus
Eczema
herpeticum
Eczema
enteroviricum
(eczema
coxsackium)
Eczema
vaccinatum
Pityriasis rubra
pilaris
herpeticum
Keratosis
follicularis
herpeticum
Pemphigus
herpeticum
Atopic dermatitis
Herpes simplex virus
Atopic dermatitis
Enterovirus (coxsackie)
Atopic dermatitis
Vaccinia virus
Pityriasis rubra pilaris
Herpes simplex virus
Darier disease (keratosis
follicularis)
Herpes simplex virus
Pemphigus vulgaris,
benign familial
pemphigus (Hailey–
Hailey)
Psoriasis
Herpes simplex virus
Psoriasis
herpeticum
Varicella zoster virus
KVE may be accompanied by fever, mucocutaneous involvement,
malaise, and poor oral intake. Signs of bacterial superinfection (an infection
