A case of disseminated herpes zoster with vesicles accentuated in an area treated with a wet compress

Yasutaka Mitamura, Yumiko Kaku, Kayo Harada, Kazunori Urabe, Masutaka Furue

Research output: Contribution to journalArticle

Abstract

We describe a case of vesicular eruptions in an 82-year-old man ; the eruptions were present on the patient's head, trunk, and legs and were bunched together on his back. He had been suffering from rheumatoid arthritis and was treated with prednisolone and mizoribine. He had applied a wet compress on his back because he had been experiencing a backache for 3 days before the outbreak of the eruptions. A physical examination revealed numerous vesicles on his back, with bilaterally and unilaterally healed crust within the leision. Histological analysis of the vesicles on his back revealed an intraepidermal vesicle with balloon cells in the vesicle and multinucleate giant cells. Immunoglobulin (IgM) antibodies to varicella-zoster virus (VZV) were not detected using serological methods, whereas VZV IgG antibodies were detected by enzyme immunoassay (EIA). The patient was diagnosed with disseminated herpes zoster and the vesicles were accentuated in areas where the wet compress was placed. The patient was treated with acyclovir for 7 days. Varicella and disseminated herpes zoster are known to have predilection for sun exposure, pre-existing dermatosis, and skin injury. This is a rare case of disseminated herpes zoster showing vesicle accentuation in areas where a wet compress was placed.

Original languageEnglish
Pages (from-to)32-35
Number of pages4
JournalNishinihon Journal of Dermatology
Volume75
Issue number1
DOIs
Publication statusPublished - Aug 19 2013

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Herpes Zoster
Human Herpesvirus 3
Acyclovir
Chickenpox
Antibodies
Solar System
Giant Cells
Back Pain
Prednisolone
Immunoenzyme Techniques
Skin Diseases
Physical Examination
Disease Outbreaks
Immunoglobulin M
Immunoglobulins
Rheumatoid Arthritis
Leg
Immunoglobulin G
Head
Skin

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this

A case of disseminated herpes zoster with vesicles accentuated in an area treated with a wet compress. / Mitamura, Yasutaka; Kaku, Yumiko; Harada, Kayo; Urabe, Kazunori; Furue, Masutaka.

In: Nishinihon Journal of Dermatology, Vol. 75, No. 1, 19.08.2013, p. 32-35.

Research output: Contribution to journalArticle

Mitamura, Yasutaka ; Kaku, Yumiko ; Harada, Kayo ; Urabe, Kazunori ; Furue, Masutaka. / A case of disseminated herpes zoster with vesicles accentuated in an area treated with a wet compress. In: Nishinihon Journal of Dermatology. 2013 ; Vol. 75, No. 1. pp. 32-35.
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