The classic skin presentation of neonatal HSV infection is vesicles and vesiculopustules that may be grouped on a red base or may become hemorrhagic. Bullae, widespread skin erosions, and polycyclic patches occasionally may be seen, and scarring may be present. Prompt evaluation is important, and intravenous acyclovir should be immediately instituted if the diagnosis of neonatal HSV is being considered.
Dr. Mancini said he had no financial conflicts to disclose.