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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.
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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.

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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.

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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).

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