| Popis: |
Viral diseases are common in children and may manifest in the skin as exanthems or specific lesions such as vesicles, bullae, erosions, ulcers, papules, plaques, and tumors. These illnesses range from serious and life-threatening in the case of smallpox to innocuous and cosmetically concerning as in flat warts. The incidence of certain viral diseases like rubella, measles, and varicella has been dramatically decreased in the developing world through immunization programs. For others, like Herpes simplex virus 1 and 2 and herpes zoster, we have targeted antiviral therapies. Human papilloma virus-induced warts and poxvirus-induced molluscum lesions are extremely common pediatric problems without specific antiviral therapies, and thus numerous possible, but often ineffective, treatments exist. There are viral-associated childhood exanthems with distinctive morphologies in which we can only offer observation, symptomatic treatment, and supportive care. These include unilateral laterothoracic exanthem, Gianotti-Crosti syndrome, erythema infectiosum, papular purpuric gloves and socks syndrome, roseola, Epstein Barr Virus-induced mononucleosis, and many of the enteroviral illnesses. Finally, we have progress to make in the management of rarer cutaneous viruses such as orf and cowpox. The management of all of these viruses will be discussed in this chapter. |
