Eczema herpetic – deeper lesions, located anywhere
Herpes – no neuralgia

-asymmetrical distribution (if multiple)
-*annular, circular or oval lesions* (usually oval on face)
-*erythematous lesion WITH SCALE*

-*generalized lymphadenopathy* may be seen
-papular lesions, urticarial lesions
-concentrated on *arms* and *legs*
-*koebner phenomenon*
-oral antihistamines (if pruritic)
-oral anti-fungal (if infection persists)
-*coxsackie virus* (human enterovirus 71 too)
EXANTHEM
-vesicular eruption
-lateral fingers and toes
-*elliptical shape with surrounding erythema*
ENANTHEM – vesicle in oral cavity rupture and become ulcers. *lateral aspects of tongue*
-fever control
-analgesics

-erythematous papules in the *perioral/perinatal/periorbital* areas
-*similar to Rosales and acne* – no comodones
-may have *some scale* (none in acne – which has oiliness associated)
-*topical metronidazole*

-diffuse scale
-crusting or postures
-*occipital lymphadenopathy*
-*trichophyton tonsurans* is MC etiology
*Wood’s light examination* – negative doesn’t help, but if positive can
-*good safety profile*
-side effects: HA, GI disturbances, urticarial, “ID” reaction (start treating then will get fine bumps)
-side effects: GI disturbances
Side effects: GI disturbances, taste loss (causes weight loss)
Side effects: *hepatotoxicity*

-*eczematous* (scaly) patches and papules
-*finger web spaces*, axilla, wrists, belt-line, and groin area
-*burrows*
-apply under nails and every where

-fingers, toes, nose, ears, cheeks, and chin common areas affected
-*first cold* – *reddened* – *numb* – *hard* – *pale*
-gently re-warm with *warm water* – not hot
-avoid trauma while numb

-*one side of body*
-*concern around the eye*
-stories inconsistent
-unusual pattern of injury (LE ecchymosis on children that can’t walk yet)
-injuries at different stages
-check previous records

-heat exposure insufficient to cause a burn
-heaters, heating pads, hot water bottle
-reticulated erythema
-*hyperpigmentation*
-associated with *furocoumarins* and *sun exposure*
-can be found in *citrus fruits*
-more severe cases may *develop bullae*
*looks similar to ecchymosis* – hyperpigmentation in an unusual pattern
becht’s disease – complex of apthalous ulcers
Herpes simplex – anterior mouth
herpangina – posterior mouth