儿童不典型生殖器疱疹1例

Atypical genital herpes in a child:a case report

报告儿童不典型生殖器疱疹1例。患儿女,2岁。因外阴、双侧股内侧、肛周泛发米粒至绿豆大水疱,部分糜烂3 d就诊。皮肤科检查:双侧股内侧、外阴、肛周可见泛发米粒至绿豆大水疱,大部分水疱有脐凹,疱壁厚,疱液清,部分水疱破溃露出鲜红糜烂面。引流区淋巴结无明显肿大。取水疱液检测单纯疱疹病毒Ⅱ-DNA阳性,血清HSV-ⅡIgM阳性。诊断为生殖器疱疹。予抗病毒治疗1周后好转,随访1年未见复发。

A case of atypical genital herpes in a child is reported.A 2-year-old girl presented with blisters sized from rice to green bean and some erosion on the vulva,bilateral medial femur and perianal area for 3 days.Some blisters appeared umbilicated with thick wall,clear fluid and erosion,but without lymphadenopathy.Herpes simplex virusⅡ-DNA and serum HSV-ⅡIgM were positive.A diagnosis of genital herpes was made.Lesions were improved after one week of antiviral therapy.No recurrence was observed during 1-year follow-up.