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Plaquing of Herpes Simplex Viruses
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Sacral (S1) herpes zoster.

Anca Chiriac1,2,3, Anca E Chiriac4, Adrian Naznean5

  • 1The Department of Dermato-Physiology, Apollonia University, Iaşi, Romania.

Journal of Pain Research
|June 14, 2019
PubMed
Summary
This summary is machine-generated.

This study reports a rare case of sacral herpes zoster affecting the S1 dermatome in a young man. The rare presentation involved the foot, highlighting atypical herpes zoster (shingles) manifestations.

Keywords:
herpes zosterS1painsacral zoster

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Area of Science:

  • Neurology
  • Dermatology
  • Infectious Diseases

Background:

  • Herpes zoster (shingles) commonly affects thoracic and lumbar dermatomes (T3-L3).
  • Sacral herpes zoster, particularly involving the S1 dermatome, is exceptionally rare in clinical reports.
  • Varicella-zoster virus reactivation typically follows a dermatomal distribution.

Purpose of the Study:

  • To document and describe an unusual case of sacral herpes zoster involving the S1 dermatome.
  • To highlight the atypical clinical presentation of herpes zoster in a healthy young adult.
  • To contribute to the understanding of rare herpes zoster dermatome involvement.

Main Methods:

  • Case report of a 35-year-old male patient.
  • Clinical examination documenting pain and skin eruption.
  • Dermatological and neurological assessment of the affected area.

Main Results:

  • The patient presented with aching pain and a characteristic herpes zoster rash.
  • The eruption was localized to the S1 dermatome, specifically affecting the lateral calcaneus, lateral plantar area, and dorsal aspects of digits III and IV.
  • This presentation is highly unusual given the typical T3-L3 predilection.

Conclusions:

  • Sacral herpes zoster (shingles) can occur in healthy young adults, albeit rarely.
  • Herpes zoster eruption in the S1 dermatome may present with atypical localization, including the foot.
  • Clinicians should consider varicella-zoster virus reactivation in the S1 dermatome even with unusual symptom distribution.