Photolocalized Varicella in an Adult

Abstract

A 23-year-old white man presented with a 24-hour history of pruritic red papules limited almost solely to areas sun¬ burned 4 days before. In the previous 72 hours he had experi¬ enced fever (temperatures to 39°C), headaches, fatigue, leth¬ Downloaded From: http://jama.jamanetwork.com/ by a RYERSON UNIVERSITY LIBRARY User on 06/19/2015

Photolocalized varicella in an adult

“…The first case of photolocalized varicella was reported by Castrow and Wolf . Subsequently, several infant cases have been reported, but an adult case is extremely rare . The pathogenesis of specific localization and simultaneous single‐stage eruptions of photoinduced varicella is still unknown, but there are several hypotheses .…”

Monomorphic vesicular exanthema in a 13‐year‐old boy

“…2 As a potent modulator of inflammatory and immunological cutaneous reactions, UV exposure could particularly have an effect on incipient, but at that time not yet clinically manifest, chickenpox and change the appearance of chickenpox towards a synchronized, monomorphic rash. [2][3][4][5][6] Our patient had been exposed to a high dose of UV radiation during the swimming trip shortly before the onset of the first symptoms. The exanthema was pronounced on sun-exposed areas such as the back, shoulders and chest, excluding the proximal triangle at the breast-neck junction, which had been in his own shadow (deckchair phenomenon) (Figure 1).…”

Atypical varicella with palm and sole involvement

“…Atypical varicella has been associated with immunosuppression, 2 skin injury, 3 sun exposure 4 and pre‐existing cutaneous disease 5 …”