Periorbital Lesion | Figure 1

ReginaldoCastro

Internal Medicine

Periorbital Lesion

Case Details:
7 years old, history of conjunctivitis of left eye treated with corticosteroid eye drops + antibiotic with resolution. After one day, skin lesions began affecting the upper eyelid and lower periocular area. Patient reports itching.

What’s the diagnosis?
The author made an update to this case

Update 1

Herpetic eczema (Kaposi variceliform) / Periocular Herpes simples.

Important differential diagnosis:

• Impetigo (less likely: here there is a typical vesicular pattern)
• Contact dermatitis (it would not explain umbilical vesicles)
• Molluscum contagiosum (more chronic course, not acute like that)

Diagnosis Added

Herpetic Eczema

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