Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content +++ INTRODUCTION ++ KEY POINTS Herpes simplex and varicella zoster both present with vesicular and papular morphologies that are often clustered and can become secondarily impetiginized. In lighter skin, this is often bright pink to red and can become darker centrally as it resolves. In darker skin, this can appear red to red-brown, violaceous, or skin-colored. Resolution in darker skin at the base of the vesicles is often dark brown. ++ +++ ECZEMA HERPETICUM ++ FIGURE 16-1. Pink monomorphic eroded papules densely scattered on the lateral face, with impetiginization visible along the ear. (Reproduced with permission from Burgin S. Guidebook to Dermatologic Diagnosis. New York, NY: McGraw Hill; 2021, Figure 8-22.) Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 16-2. Pink-red eroded impetiginized papules densely scattered on the right side of the face. Note the amount of visible erythema surrounding each of these papules, which is less visible in the person with skin of color. (Reproduced with permission from Burgin S. Guidebook to Dermatologic Diagnosis. New York, NY: McGraw Hill; 2021, Figure 7-6). Graphic Jump LocationView Full Size||Download Slide (.ppt) +++ HERPES SIMPLEX ++ FIGURE 16-3. Pink clustered vesicles and pustules on an erythematous base of the left buttock representing active herpes simplex virus (HSV) infection. Superior to this are areas of resolving HSV infection, visible by the crusted violaceous papules surrounded by postinflammatory hyperpigmentation. (From Usatine RP, Smith MA, Mayeaux EJ Jr, et al. The Color Atlas and Synopsis of Family Medicine, 3rd ed. New York, NY: McGraw Hill; 2019, Figure 135-11. Reproduced with permission from Richard P. Usatine, MD.) Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 16-4. Pink grouped vesicles with central erosions and crusting in the perioral region of the face. (Reproduced with permission from Prose NS, Kristal L. Weinberg’s Color Atlas of Pediatric Dermatology, 5th ed. New York, NY: McGraw Hill; 2017, Figure 5-36.) Graphic Jump LocationView Full Size||Download Slide (.ppt) +++ VARICELLA ZOSTER ++ FIGURE 16-5. Light-brown to violaceous pinpoint vesicles coalescing into plaques, with a mild background of subtle pink erythema clustered along the thoracic dermatome. (Reproduced with permission from Burgin S. Guidebook to Dermatologic Diagnosis. New York, NY: McGraw Hill; 2021, Figure 7-8.) Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 16-6. Bright-pink grouped vesicles coalescing into plaques with an intensely visible background of erythema. (Reproduced with permission from Burgin S, et al. Guidebook to Dermatologic Diagnosis. New York, NY: McGraw Hill; 2021, Figure 2-41.) Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 16-7. Multiple plaques of grouped vesicles on an erythematous base extending along the thoracic dermatome. (Reproduced with permission from Soutor C, Hordinsky MK. Clinical Dermatology. New York, ... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Download the Access App: iOS | Android Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.