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Widespread eruption in a patient with atopic dermatitis
  1. Andrea Combalia,
  2. Juan Ferrando,
  3. José M Mascaró Jr
  1. Dermatology department, Hospital Clínic de Barcelona, Barcelona, Spain
  1. Correspondence to Dr Andrea Combalia, Dermatology department, Hospital Clínic de Barcelona, Villarroel 170, Barcelona 08036, Spain; andreacombalia{at}

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Clinical introduction

A 36-year-old woman at 12 weeks of pregnancy with a personal history of severe atopic dermatitis presented to the ED with a widespread and painful skin eruption. On physical examination, there were clusters of monomorphic blisters and crusts (see figures 1 and 2).

Figure 1

Widespread and painful skin eruption.

Figure 2

Clusters of monomorphic blisters and crusts.


Laboratory tests were within normal range. What is the most likely diagnosis?

  1. Disseminated herpes simplex virus (HSV) infection

  2. Disseminated varicella-zoster …

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  • Contributors All authors have contributed equally.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.