Ann Dermatol.  2009 Nov;21(4):423-425. 10.5021/ad.2009.21.4.423.

A Case of Zoster Duplex Bilateralis

• Shin JW
• Kim DH
• Whang KU
• Lee J
• Park Y
• Cho MK
• Lee S
• Lee SY

• KMID: 2156512
• DOI: http://doi.org/10.5021/ad.2009.21.4.423

Abstract

The skin lesions of herpes zoster are classically limited to a single dermatome and most cases of multidermatomal herpes zoster have contiguous skin lesions. Simultaneous involvement of two noncontiguous dermatomes is very rare and it has been referred to as zoster duplex unilateralis or bilateralis, depending whether one or both halves of the body are involved. A 67-year-old woman presented with a group of painful vesicles on the right buttock and thigh, and left anterior chest and back. The Tzanck smear and skin biopsy were consistent with a herpetic infection. We report a rare case of zoster duplex bilateralis.

Keyword

Zoster duplex bilateralis

MeSH Terms

Aged
Biopsy
Buttocks
Female
Herpes Zoster
Humans
Skin
Thigh
Thorax

Figure

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  Fig. 1 (A) Painful grouped erythematous papulovesicular eruptions on the right side of the buttock had a band-like arrangement. (B) The posterior aspect of the right thigh showed painful grouped vesicles on an erythematous base. (C) The right knee showed painful grouped vesicles on an erythematous base.

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  Fig. 2 (A) Painful grouped papules and vesicles on an erythematous base developed on the left side of the chest. (B) Painful grouped papulovesicles on an erythematous base developed on the left side of the upper back.

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  Fig. 3 Intraepidermal blisters with characteristic eosinophilic intranuclear inclusion bodies and acantholitic multinucleated giant cells are noted (H&E, ×400).

Reference

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