Soldier With Widespread Dermatologic Outbreak - Page #2

Broad Differential Diagnosis:
Initial working diagnosis (after admission to ward by family medicine inpatient team):
Boot dermatitis (irritant versus allergic) with clear secondary impetiginization and concern for possible herpetic overlay

Truncal/upper extremity involvement initially attributed to a brisk resultant id eruption

Others diagnoses considered:
Eczema herpeticum, autoeczematization reaction, active varicella zoster virus infection, disseminated HSV infection, acute generalized exanthematous pustulous, bullous tinea, chronic tinea pedis, and rubeola

No evidence of duskiness or mucosal involvement
Stevens-Johnson’s Syndrome and Toxic Epidermal Necrosis were not likely but included on initial differential

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

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Phone: 913.327.1415

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