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February 12, 2026Pediatric Dermatology0 citations

Neonatal Herpes Simplex Infection With Extensive Congenital Epidermal Skin Loss: A Report of Four Cases

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NMN. T. McSwineyEVEmily VaughanAPAlexandra Phillips

Key Points

  • To document cases of extensive epidermal skin loss in neonates due to herpes simplex virus infection.
  • Case series of four neonates presenting at birth
  • Detailed assessment of skin loss patterns
  • Observation of associated clinical features
  • Three neonates exhibited 80% epidermal skin loss
  • Skin loss patterns included sparing of hands and feet
  • Fourth case showed less extensive skin loss with a similar distribution

Abstract

ABSTRACT We describe four cases of neonatal epidermal skin loss presenting at birth, secondary to disseminated herpes simplex virus (HSV) infection. In three, there was a strikingly similar presentation of 80% epidermal skin loss with sparing of the hands, feet, and areas on either the face or scalp. In the fourth neonate, the skin loss was less extensive but followed a similar pattern. This case series highlights an under‐recognized pattern of skin involvement in systemic neonatal HSV, and the importance of early recognition and optimal management to improve outcomes.

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Cite This Study

McSwiney et al. (2026) studied this question.

synapsesocial.com/papers/698d6e6e5be6419ac0d542fchttps://doi.org/10.1111/pde.70144
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