Herpes Zoster Duplex Symmetricus in a Healthy Patient.
- Author:
See Hyun LEE
1
;
Hye Jung JUNG
;
Mi Youn PARK
;
Ji Young AHN
Author Information
1. Department of Dermatology, National Medical Center, Seoul, Korea. aj222@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Bilateral dermatomes;
Herpes zoster duplex
- MeSH:
Acantholysis;
Biopsy;
Floors and Floorcoverings;
Forehead;
Giant Cells;
Herpes Zoster;
Humans;
Skin;
Young Adult
- From:Korean Journal of Dermatology
2011;49(12):1098-1101
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Herpes zoster duplex, particularly herpes zoster duplex symmetricus, is a very rare manifestation of herpes zoster that occurs in immunocompetent patients. A 23-year-old Korean man presented with grouped erythematous, ruptured, crusted vesicles on plaques and papules on his forehead and both temporal areas. He had unexplained pain around the cutaneous lesions for the past 2 weeks, and the vesicles developed 1 week ago. A Tzanck smear test of the skin lesion showed multinucleated giant cells. A punch biopsy taken from the vesicle on the forehead revealed an intraepidermal vesicle with acantholysis and balloon cells at the floor of the vesicle. He was diagnosed with herpes zoster involving bilateral dermatomes.