Correspondence |

Disseminated Verrucous Varicella Zoster With Exclusive Follicular Involvement

Drake H. Tilley, MD, MPH; Elizabeth K. Satter, MD, MPH; Charlene V. Kakimoto, MD; Edith R. Lederman, MD, MPH
Arch Dermatol. 2012;148(3):405-407. doi:10.1001/archdermatol.2011.2801.
Text Size: A A A
Published online


Correspondence: Dr Tilley, Department of Dermatology, Naval Medical Research Unit 6, Unit 3230, Box 48, DPO, AA 34031-0048, Lima, Peru (drake.tilley@med.navy.mil).

Financial Disclosure: None reported.

Disclaimer: The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government.

Additional Information: Drs Tilley and Satter contributed equally to the authorship of this article.

Figures in this Article



Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption
Graphic Jump Location

Figure 1. Clinical images of the patient. A, Multiple papules on the face, some umbilicated. B, Verrucous papules on dorsal surface of the hand. C, Small crusted papules and vesicles on the foot.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 2. Biopsy sections from the patient. A, Dilated, plugged hair follicles containing pale, swollen keratinocytes and multinucleated giant cells (hematoxylin-eosin, original magnification ×4). B, Higher magnification of the section from panel A showing multinucleated and necrotic keratinocytes limited to the upper part of the hair follicle (hematoxylin-eosin, original magnification ×20). C, Strong nuclear and cytoplasmic staining is seen in the affected keratinocytes under anti –varicella zoster virus immunohistochemical analysis (aminoethylcarbazole stain, original magnification ×10).




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles