Korean J Pain.  2013 Apr;26(2):195-198. 10.3344/kjp.2013.26.2.195.

Disseminated Herpes Zoster in an Immunocompetent Elderly Patient

• Yoon KJ
• Kim SH
• Lee EH
• Choi JH

• KMID: 1978669
• DOI: http://doi.org/10.3344/kjp.2013.26.2.195

Abstract

Herpes zoster is a cutaneous infection that is characterized by an acute vesicobullous rash with ipsilateral one or two dermatomal distribution and painful allodynia, while predominantly being found in the elderly. Extensive cutaneous dissemination has been reported in immune-compromised patients, such as those who suffer from HIV infections, cancer, chemotherapy, and corticosteroid therapy patients. However, we report a case of disseminated herpes zoster infection in an immuno-competent elderly individual.

Keyword

cell mediated immunity; disseminated herpes; Ramsay Hunt syndrome

MeSH Terms

Aged
Exanthema
Herpes Zoster
Herpes Zoster Oticus
HIV Infections
Humans
Hyperalgesia
Immunity, Cellular

Figure

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  Fig. 1 View of original dermatomal lesions of left external auditory canal, partially crusted.

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  Fig. 2 Left facial palsy.

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  Fig. 3 Broad disseminated vesicles on posterior neck and back.

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  Fig. 4 Disseminated vesicles on shoulder, upper arm, both.

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