Diagnosis: Herpes Simplex of a Hand (Due to Contact with Sibling who Had Herpetic Gingivostomatitis?). Presented by Dr. Alexander A. Fisher.
A baby of 7 months has had an eruption on a hand for 10 days. The eruption began with a small blister on a finger. Since then, crops of umbilicated vesicles, pustules, and small hemorrhagic bullae have appeared in the region. At the moment there are numerous vesicles and pustules, some of which are umbilicated. There is an enlarged lymph node in the left axilla. The temperature is not elevated, and there are no systemic symptoms.
According to the pediatrician, the patient's older brother had herpetic gingivostomatitis three weeks ago. The patient not only was in intimate contact with her brother, but was seen by the mother to place the involved hand in her brother's mouth.
The patient has already been treated with various antibiotic and