Back issues No.3 - 2001 / Case Report  

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Febrile Ulceronecrotic Mucha-Habermann's Disease —Report of A Case—
Chi-Chuan Hsieh, Yao-Kun Chiu, Ji-Chen Ho, Shun-Chen Huang
Dermatol Sinica 19: 233-242, 2001

Herein, we report on a case of febrile ulceronecrotic Mucha-Habermann,s disease (FUMHD). An eight-year-old boy, who presented with generalized hemorrhagic papulo-vesicles associated with intermittent high fever intially, experienced similar and recurrent episodes during the subsequent one month perioid. Initially, the patient was clinically diagnosed as suffering from hemorrhagic chicken pox, and he received acyclovir and antibiotics treatment. Unfortunately, new pustules continued to appear at distal extremities and old lesions exhibited ulcero-necrotic changes accompanied by systemic symptoms (headache, malaise, arthralgia, abdominal pain and diarrhea), and, accordingly, a skin biopsy was performed at the site of one of the pustules, although without any definite diagnosis being made. Following further supportive treatment, lesions became scaling plaques with subsequent scar formation, and the patient was discharged and followed up with oral dicloxacillin in our pediatric department. Two months later, some new scaling plaques had occurred on the trunk, and a further skin biopsy was performed, the result of which was compatible with a diagnosis of pityriasis lichenoides et varioliformis acuta. We therefore concluded that this patient was a case of febrile ulceronecrotic Mucha-Habermann,s disease, according to his past clinical course and histopathological finding.

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