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Related Experiment Video

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Development of an IFN-γ ELISpot Assay to Assess Varicella-Zoster Virus-specific Cell-mediated Immunity Following Umbilical Cord Blood Transplantation

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Published on: July 9, 2014

A case of zoster duplex bilateralis.

Jung Woong Shin¹, Dae-Hyun Kim, Kyu Uang Whang

¹Department of Dermatology, Soonchunhyang University Hospital, Cheonan, Korea.

Annals of Dermatology

|June 5, 2010

Summary

This study reports a rare case of bilateral herpes zoster affecting noncontiguous dermatomes. The findings highlight a unique presentation of this viral infection, expanding clinical understanding.

Keywords:

Zoster duplex bilateralis

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Area of Science:

Dermatology
Virology
Infectious Diseases

Background:

Herpes zoster typically presents with lesions confined to a single dermatome.
Multidermatomal herpes zoster often involves contiguous skin areas.
Simultaneous involvement of noncontiguous dermatomes is exceptionally rare.

Observation:

A 67-year-old woman presented with painful vesicles on the right buttock/thigh and left anterior chest/back.
Diagnostic tests, including Tzanck smear and skin biopsy, confirmed a herpetic infection.

Findings:

The patient's presentation represented a rare instance of zoster duplex bilateralis.
This condition involves simultaneous, noncontiguous dermatomal involvement on both sides of the body.

Implications:

This case expands the known clinical spectrum of herpes zoster.
Understanding rare presentations like zoster duplex bilateralis is crucial for accurate diagnosis and management.
Further research into the pathogenesis of noncontiguous dermatomal zoster may be warranted.