Imágenes en Dermatología
Erupción variceliforme de Kaposi sobre quemadura solar
Kaposi Varicelliform Eruption on Sunburned Skin
M. Rogel-Vence
, L. González-Ruiz, M. Franco-Muñoz, J.A. Garrido-Martín
Corresponding author
Servicio de Dermatología Médico-Quirúrgica y Venereología, Hospital General Universitario de Ciudad Real, Ciudad Real, España
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Rogel-Vence, L. González-Ruiz, M. Franco-Muñoz, J.A. Garrido-Martín" "autores" => array:4 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Rogel-Vence" "email" => array:1 [ 0 => "mrogelvence@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "L." "apellidos" => "González-Ruiz" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Franco-Muñoz" ] 3 => array:2 [ "nombre" => "J.A." "apellidos" => "Garrido-Martín" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología Médico-Quirúrgica y Venereología, Hospital General Universitario de Ciudad Real, Ciudad Real, España" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Kaposi Varicelliform Eruption on Sunburned Skin" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 443 "Ancho" => 1755 "Tamanyo" => 104177 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Un varón de trece años sin antecedentes de interés fue evaluado a través de urgencias por la aparición de lesiones cutáneas diseminadas. Como antecedente de interés había sufrido una importante quemadura solar diez días antes, presentando desde hacía veinticuatro horas una extensa erupción vesiculosa. A la exploración destacaba una amplia quemadura de segundo grado en zona interescapular (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>A). Se observaban numerosas lesiones diseminadas en tórax y espalda (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>B) en forma de vesículas de contenido claro agrupadas sobre una base eritematosa (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>C). No presentaba afectación del estado general. Se tomó una muestra para PCR de virus de herpes y se pautó tratamiento empírico con valaciclovir oral 500<span class="elsevierStyleHsp" style=""></span>mg/12 horas durante siete días y fomentos con sulfato de zinc. El resultado de la PCR fue positivo para VHS tipo<span class="elsevierStyleHsp" style=""></span>I, confirmando el diagnóstico de eczema herpeticum. El paciente evolucionó favorablemente hasta la resolución completa.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">La erupción variceliforme de Kaposi es una infección cutánea diseminada de origen viral (frecuentemente VHS) que se presenta en pacientes con dermatosis de base habitualmente crónicas. Se trata de una complicación grave y potencialmente mortal que puede conllevar sobreinfección bacteriana y sepsis. 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