Necrotizing herpes folliculitis. Report of one case

Herpes folliculitis is a rare manifestation of herpes virus infection. It usually represents a diagnostic challenge, due to the absence of characteristic skin manifestations such as vesicles or pustules. The reported cases are mainly associated with varicella zoster virus (VZV) and less commonly wit...

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Bibliographic Details
Published in:Revista medíca de Chile 2012-12, Vol.140 (12), p.1589-1592
Main Authors: Bello, Cristina C, Burgos, Susana C, Cárdenas, Consuelo D, González, Sergio B
Format: Article
Language:Spanish
Subjects:
Diagnosis, Differential
Folliculitis - pathology
Herpesviridae Infections - pathology
Humans
Immunocompromised Host
Lymphoma, Non-Hodgkin - immunology
Lymphoma, Non-Hodgkin - pathology
Male
Middle Aged
Polymerase Chain Reaction
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Summary:Herpes folliculitis is a rare manifestation of herpes virus infection. It usually represents a diagnostic challenge, due to the absence of characteristic skin manifestations such as vesicles or pustules. The reported cases are mainly associated with varicella zoster virus (VZV) and less commonly with herpes simplex viruses (HSV-1 y HSV-2). We report a 51-year-old male with a relapsing non-Hodgkin Lymphoma under chemotherapy, with history of extensive follicular lesions lasting one month. The pathologic study of the lesions was consistent with necrotizing herpes folliculitis. The patient was treated with Valacyclovir, achieving remission of the lesions. The appearance of folliculitis, especially in an immunocompromised patient, should raise the suspicion of herpes virus infection. Polymerase chain reaction may help to elucidate the diagnosis when pathologic findings are non-specific.
ISSN:0717-6163
DOI:10.4067/S0034-98872012001200011