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Year : 2018  |  Volume : 19  |  Issue : 1  |  Page : 59-61

Monomorphic bullous hemorrhagic varicella in a patient on methotrexate

1 Department of Dermatology, Venereology and Leprosy, KGMU, Lucknow, Uttar Pradesh, India
2 Department of Microbiology, KGMU, Lucknow, Uttar Pradesh, India
3 Department of General Medicine, KGMU, Lucknow, Uttar Pradesh, India

Correspondence Address:
Swastika Suvirya
Department of Dermatology, Venereology and Leprosy, KGMU, Lucknow - 226 003, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijpd.IJPD_6_15

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Varicella, a common exanthematous disease of childhood, can have atypical presentation in immunosuppressed patients. We report a case of a 14-year-old female who presented with multiple hemorrhagic tense bullae and a monomorphic presentation that created an initial diagnostic dilemma. Patient's treatment history was remarkable for taking methotrexate for arthritis for the last 2 months. The patient was treated with a prolonged course of intravenous acyclovir that eventually led to her uneventful recovery.

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