spread and later evolve into monomorphic (all similar appearing) punchedout erosions ( Fig 70.15 ) These cutaneous findings characteristically occur at anatomic sites where the primary skin disease is either present or has previously been located, and help to differentiate KVE from a primary (firstepisode) viral HSV or enteroviral outbreak TABLE 70.2 KAPOSI VARICELLIFORM ERUPTION Phenomenon Primary skin disease Secondary infecting virus Eczema herpeticum Eczema enteroviricum (eczema coxsackium) Eczema vaccinatum Pityriasis rubra pilaris herpeticum Keratosis follicularis herpeticum Pemphigus herpeticum Atopic dermatitis Herpes simplex virus Atopic dermatitis Enterovirus (coxsackie) Atopic dermatitis Vaccinia virus Pityriasis rubra pilaris Herpes simplex virus Darier disease (keratosis follicularis) Herpes simplex virus Pemphigus vulgaris, benign familial pemphigus (Hailey– Hailey) Psoriasis Herpes simplex virus Psoriasis herpeticum Varicella zoster virus KVE may be accompanied by fever, mucocutaneous involvement, malaise, and poor oral intake Signs of bacterial superinfection (an infection